经脐单孔腹腔镜治疗卵巢良性肿瘤的临床效果

Clinical Effect of Single Incision Laparoscopic Surgery in Treatment of Benign Ovarian Tumors

目的探讨经脐单孔腹腔镜手术对卵巢良性肿瘤的治疗效果。方法将2017年1月-2018年6月收治的112例卵巢良性肿瘤患者以随机数字表法分为对照组与观察组各56例,对照组行多孔腹腔镜卵巢良性肿瘤剔除术,观察组行经脐单孔腹腔镜卵巢良性肿瘤剔除术,对2组患者手术效果、术后疼痛及美容效果、性激素水平、并发症发生率等进行观察。结果观察组手术时间较对照组长,术中出血量较对照组低,术后肛门排气时间、住院时间较对照组短,差异均有统计学意义(P<0.05);观察组术后72h视觉模拟评分(VAS)低于对照组,美容效果评分较对照组高,差异均有统计学意义(P<0.05);2组术前的性激素各指标水平无明显差异(P>0.05),术后1个月时,雌二醇(E2)较术前下降,促卵泡激素(FSH)、黄体生成素(LH)较术前上升(P<0.05),组间比较无明显差异(P>0.05);观察组、对照组术后并发症发生率分别为5.36%、3.57%,无明显差异(P>0.05)。结论经脐单孔腹腔镜手术治疗卵巢良性肿瘤具有满意效果,创伤小,不增加卵巢创伤及术后并发症发生率,也能取得满意美容效果,值得推广。

Objective To investigate the therapeutic effect of transumbilical single-port laparoscopic surgery in the treatment of benign ovarian tumors. Methods 112 cases of patients with benign ovarian tumors treated in our hospital from January 2017 to June 2018 were selected and randomly divided into the control group and the observation group with 56 cases in each group. The patients in the control group treated with porous laparoscopic ovarian benign tumors removal, while patients in the observation group treated with transumbilical single-hole laparoscopic removal of benign ovarian tumors. The operation effect, postoperative pain and cosmetic effect, sex hormone level and complication rate of the two groups were observed. Results The operation time of the observation group was longer than that of the control group, the amount of bleeding during operation was lower than that of the control group and the time of anal exhaust and hospitalization after operation was shorter than that of the control group. The difference was statistically significant(P<0.05). The visual analogue score(VAS) of the observation group 72 hours after operation was lower than that of the control group and the cosmetic effect score was higher than that of the control group. The difference was statistically significant(P<0.05). There was no significant difference in the levels of sex hormones before operation between the two groups(P> 0.05). One month after operation, Estradiol(E2) was lower than that before operation and the levels of follicle stimulating hormone(FSH)and luteinizing hormone(LH) were higher than those before operation(P<0.05).There was no significant difference between the two groups(P>0.05). The incidence of postoperative complications in the observation group and the control group were respectively 5.36% and 3.57% with no significant difference(P > 0.05).Conclusions Transumbilical single-port laparoscopic surgery in the treatment of benign ovarian tumors has satisfactory results with less trauma, but without increasing the incidence of ovarian trauma and complications, and it can also achieve satisfactory cosmetic results, which is worthy of promotion.