Yoo Eun-Hee, Shim Eunjung
Department of Obstetrics and Gynaecology, Kyung Hee University Hospital at Gangdong, Kyung Hee University, College of Medicine, Seoul, Republic of Korea.
J Int Med Res. 2013 Jun;41(3):673-80. doi: 10.1177/0300060513484437. Epub 2013 May 7.
Scar-related cosmetic outcomes were compared prospectively between conventional three-port and single-port access laparoscopic adnexal gynaecological surgery.
Enrolled patients were randomly assigned to a single- or three-port surgery group. Scar-related outcomes were evaluated at 1 month, 6 months and 1 year. Scars were assessed by an independent observer using the modified Vancouver Scar Scale (mVSS). All patients were asked about pain related to the scar and scar satisfaction; results were recorded using a numerical rating scale.
Seventy-three patients were enrolled between June 2010 and June 2011. Demographic and surgical outcomes did not differ between the groups. mVSS results were similar in the two groups at each follow-up point. The scar satisfaction profile measured at 1 month showed no significant difference between the groups, but the single-port access group had better results than the conventional group at all other follow-up timepoints.
Cosmetic outcome was better for single-port than for three-port adnexal gynaecological surgery at 6-month and 1-year follow-up.
对传统三孔法与单孔法腹腔镜附件区妇科手术的瘢痕相关美容效果进行前瞻性比较。
将入选患者随机分为单孔手术组或三孔手术组。在术后1个月、6个月和1年评估瘢痕相关结局。由一名独立观察者使用改良温哥华瘢痕量表（mVSS）对瘢痕进行评估。询问所有患者与瘢痕相关的疼痛及瘢痕满意度；结果采用数字评分量表记录。
2010年6月至2011年6月共纳入73例患者。两组患者的人口统计学和手术结局无差异。在每个随访点，两组的mVSS结果相似。1个月时测量的瘢痕满意度在两组间无显著差异，但在所有其他随访时间点，单孔法组的结果均优于传统组。
在6个月和1年随访时，单孔法附件区妇科手术的美容效果优于三孔法。
