中国实用妇科与产科杂志2025，Vol.41Issue(7)：730-733,4.DOI:10.19538/j.fk2025070113
"筷子法"单孔腹腔镜与多孔腹腔镜行子宫肌瘤切除术的对比研究
Comparison between laparoendoscopic single-site myomectomy with the"chopstick"technique and conventional laparoscopic myomectomy
摘要
Abstract
Objective To compare the perioperative outcomes of laparoendoscopic single-site myomectomy using the"chopstick"technique(cLESS-M)with those of conventional laparoscopic myomectomy(CLS-M).Methods A retrospective analysis was conducted on 255 patients who underwent laparoscopic myomectomy at the First Affiliated Hospital of Army Medical University between August 2018 and April 2020.Patients were divided into the cLESS group(n=117)and the CLS group(n=138)based on the surgical approach.Intraoperative parameters,postoperative recovery indicators,and incidence of perioperative complications were compared between the two groups.Results Baseline data were similar between the two groups(P＞0.05).There were no significant differences in operation time,estimated blood loss,or incidence of perioperative complications.Compared to the CLS group,the cLESS group had a significantly shorter postoperative hospital stay[4.0(4.0,5.0)vs.5.0(4.0,6.0)days,P=0.006],lower pain scores at 1 hour postoperatively[2.0(2.0,3.0)vs.3.0(2.0,3.0),P＜0.001],and lower pain scores at 24 hours after operation[1.0(1.0,1.0)vs.1.0(1.0,2.0),P=0.008].Conclusion The cLESS-M technique offers comparable surgical outcomes to CLS-M,with advantages of shorter hospital stay and less pain after operation.关键词
子宫肌瘤/单孔腹腔镜/筷子技术/腹腔镜子宫肌瘤切除术Key words
uterine myoma/laparoendoscopic single-site surgery/chopstick technique/laparoscopic myomectomy分类
医药卫生引用本文复制引用
吴学菊,魏寰宇,邓媛,邓黎,唐帅,王延洲.."筷子法"单孔腹腔镜与多孔腹腔镜行子宫肌瘤切除术的对比研究[J].中国实用妇科与产科杂志,2025,41(7):730-733,4.基金项目
Chongqing Special Key Project for Technological Innovation and Application Development(CSTB2022TIAD-KPX0154) 重庆市技术创新与应用发展专项重点项目(CSTB2022TIAD-KPX0154) （CSTB2022TIAD-KPX0154）
