目的：比较单孔机器人辅助子宫肌瘤切除术（SSRM）与传统腹腔镜子宫肌瘤切除术（LM）的临床疗效及并发症发生情况。 方法：回顾性选取 2023 年 1 月—2023 年 12 月在西北妇女儿童医院行子宫肌瘤切除术的 103 例患者，根据不同手术方法分 为 SSRM 组（n=51）和 LM 组（n=52），比较两组患者的手术相关指标、疼痛程度、子宫肌层愈合情况、炎症因子水平及并 发症发生率。结果：与 LM 组相比，SSRM 组的手术时间更长（P<0.05），两组患者手术期间的输血率、Hb 下降程度、肛门 排气时间、住院时间、总并发症发生率及术后各时间点的 VAS 评分和子宫肌层愈合率比较，差异无统计学意义（P>0.05）。 两组患者术后 72 h 的炎症因子水平与术前相比均升高，但组间比较差异无统计学意义（P>0.05）。结论：SSRM 和传统 LM 治疗子宫肌瘤的疗效和安全性相当，均可减轻患者疼痛，促进子宫肌层愈合，但 SSRM 的手术时间更长。

Objective: To compare the clinical efficacy and complication rates between single-site robot-assisted myomectomy (SSRM) and traditional laparoscopic myomectomy (LM). Methods: A retrospective analysis was conducted on 103 patients who underwent myomectomy at Northwest Women’s and Children’s Hospital from January 2023 to December 2023. They were divided into the SSRM group (n=51) and the LM group (n=52) based on different surgical methods. The surgical outcomes, pain levels, myometrial healing, inflammatory factor levels, and complication rates were compared between the two groups of patients. Results: Compared with the LM group, the SSRM group had a longer operative time (P<0.05). No significant differences were found in transfusion rates, hemoglobin decline, time to first flatus, length of hospital stay, overall complication rates, postoperative VAS scores at different timepoints, or myometrial healing rates (P>0.05). Inflammatory factor levels increased at 72 hours after surgery in the two groups compared with that before surgery, but no significant intergroup differences were found (P>0.05). Conclusion: SSRM and traditional LM show comparable efficacy and safety in treating uterine fibroids, both can effectively alleviate pain and promote myometrial healing. However, SSRM requires a longer operative time.

基金项目：陕西省科学技术研究发展计划项目（2019K12-01） 

Foundation Item: Science and Technology R&D Plan Project of Shaanxi Province(2019K12-01) 

引用格式：郑静妮，续靖宁，刘娜，等 . 单孔机器人辅助与传统腹腔镜子宫肌瘤切除术的临床疗效对比 [J]. 机器人外科学杂志（中英文）， 2025，6（5）：719-722，728. 

Citation: ZHENG Jingni, XU Jingning, LIU Na, et al. Comparison of clinical efficacy between single-site robot-assisted and traditional  laparoscopic myomectomy [J]. Chinese Journal of Robotic Surgery, 2025, 6(5): 719-722, 728. 

通讯作者（Corresponding Author）：龚小育（GONG Xiaoyu），Email：GongXY1984@163.com

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