论著指助法配合经脐改良单孔腹腔镜下多发性子宫肌瘤剔除术的可行性及对复发的影响周宁a闫家玲b胡小宁a宋振君a(山东省立第三医院:a．创伤与手足外科;b．脊柱脊髓外科,山东济南２５００３１)[摘要]【目的】探讨指助法配合经脐改良单孔腹腔镜下多发性子宫肌瘤剔除术的可行性及对复发的影响.【方法】选取２０２０年４月至２０２２年４月本院收治的７２例多发性子宫肌瘤患者,按照随机数字表法分为对照组(行经脐改良单孔腹腔镜下多发性子宫肌瘤剔除术)和改良组(行指助法配合经脐改良单孔腹腔镜下多发性子宫肌瘤剔除术),每组３６例.统计两组围术期情况、卵巢分泌功能指标、疼痛评分和并发症发生率,统计两组术后１年内的复发情况.【结果】改良组手术时间、术后排气时间、住院时间长于对照组,术中失血量多于对照组(P＜０．０５).两组促黄体生成素(luteinizinghormone,LH)、雌二醇(estedl,E２)和孕酮(progesterone,P)、卵泡刺激素(folliclestimulaＧtinghormone,FSH)水平比较,差异无统计学意义(P＞０．０５).术后１d,改良组视觉模拟评分表(visualanaloguescore,VAS)评分高于对照组(P＜０．０５);术后３d,两组VAS评分比较,差异无统计学意义(P＞０．０５).两组并发症总发生率比较,差异无统计学意义(P＞０．０５).改良组复发率低于对照组(P＜０．０５).【结论】指助法配合经脐改良单孔腹腔镜下多发性子宫肌瘤剔除术对患者卵巢功能影响较小,并不增加并发症发生率,可行性较高,且可降低复发率,值得临床推广.[关键词]子宫肌瘤切除术;平滑肌瘤/外科学;子宫肿瘤/外科学;腹腔镜检查TheFeasibilityandImpactonRecurrenceofMultipleUterineFibroidsRemovalUsingFingerAssisＧtedMethodCombinedwithModifiedSinglePortLaparoscopicSurgeryviaUmbilicalCordZHOUNing,YANJialing,HUXiaoning,etal(DepartmentofTraumaandHandandFootSurgery,ShandongProvinceThirdHospital,JinanShandong２５００３１)[Abstract]【Objective】Toexplorethefeasibilityoffingerassistedmethodcombinedwithtransumbilicalmodifiedsingleportlaparoscopicremovalofmultipleuterinefibroidsanditsimpactonrecurrence．【Methods】Atotalof７２patientswithmultipleuterinefibroidsadmittedtoourhospitalfromApril２０２０toApril２０２２wereselectedandrandomlydividedintoacontrolgroup(whounderwentmodifiedsingleportlaparoscopicmultipleuterinefibroidremovalviaumbilicalcord)andanimpr...
