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目的探讨单孔腹腔镜技术在泌尿外科手术中的应用价值。方法选取行单孔腹腔镜泌尿外科手术患者31例(单孔组),其中肾囊肿14例(经腰途径),精索静脉曲张17例(经脐途径)。对照组为同期传统腹腔镜泌尿外科手术患者33例,其中肾囊肿19例(经腰途径),精索静脉曲张14例(经脐途径)。比较两组手术时间及术后恢复情况。结果单孔组手术时间长于对照组(P<0.05),但术后使用镇痛药少于对照组(P<0.05);两组术中出血量、术后排气时间、住院时间差异无统计学意义(P>0.05)。两组患者均无切口疝等并发症发生,单孔组切口愈合好,美容效果好。结论单孔腹腔镜手术治疗肾囊肿、精索静脉曲张安全可行,可达到微创与美观结合的效果。
Objective To investigate the value of single hole laparoscopy in urological surgery. Methods Thirty-one patients undergoing single-hole laparoscopic urologic surgery were selected, including 14 cases of renal cysts (transumbilical approach) and 17 cases of varicocele (via umbilical route). The control group consisted of 33 patients with conventional laparoscopic urologic surgery over the same period, including 19 renal cysts (transumbilical approach) and 14 varicocele (via umbilical route). The operation time and postoperative recovery of the two groups were compared. Results The operation time of the single-hole group was longer than that of the control group (P <0.05), but the number of postoperative analgesics was less than that of the control group (P <0.05). There was no statistical difference in the amount of bleeding, postoperative exhaust time and hospital stay Significance (P> 0.05). No complications such as incisional hernia occurred in both groups. The healing of the single hole group was good and the cosmetic effect was good. Conclusion Single hole laparoscopic surgery for the treatment of renal cysts, varicocele safe and feasible, minimally invasive and aesthetic combination of results can be achieved.