单孔与传统多孔法腹腔镜卵巢囊肿剔除术效果对比分析

Comparative analysis of effect of single port and traditional multiport used in laparoscopic ovarian cystectomy

目的:探讨单孔腹腔镜卵巢囊肿剔除术治疗卵巢囊肿与传统多孔法手术的差异性。方法:回顾性分析2016年5月—2018年5月本院收治的86例卵巢囊肿患者临床资料。根据手术方式不同分为单孔腹腔镜卵巢囊肿剔除术(单孔组)和传统多孔法手术(多孔组)各43例。比较两组手术指标、术后24h视觉模拟评分(VAS)、术后并发症发生率、腹壁外观满意度,治疗前后雌二醇(E 2)、促黄体生成素(LH)、促卵泡生成素(FSH)水平变化。结果:两组术中出血量、手术时间、术后排气时间、住院时间、术后并发症发生率等比较无差异(P>0.05);单孔组术后24hVAS评分(2.6±1.3分)低于多孔组(5.1±1.8分),腹壁外观总满意度(95.4%)高于对照组(79.1%)(P<0.05);术后1个月,两组血清E 2水平均较术前降低,LH、FSH水平则较术前升高(P<0.05),但两组间比较无差异(P>0.05)。结论:单孔腹腔镜卵巢囊肿剔除术治疗卵巢囊肿与传统多孔法手术具有相同的手术效果和安全性,但单孔法的创伤更小,可有效减轻术后疼痛,提升腹壁外观满意度。

Objective:To explore the differences of single port and traditional multiport used in laparoscopic ovarian cystectomy.Methods:The clinical data of 86 patients with ovarian cysts from May 2016 to May 2018 were retrospectively analyzed.According to different surgical methods,the patients were divided into group A(patients treated by single port laparoscopic ovarian cystectomy)and group B(43 patients treated by traditional multiport laparoscopic ovarian cystectomy).The indexes related to surgical,visual analogue scale(VAS)at 24h after operation,the rate of postoperative complication,aesthetic satisfaction degree,and levels of estradiol(E 2),luteinizing hormone(LH)and follicle stimulating hormone(FSH)of patients before and after operation were compared between the two groups.Results:There were no significant differences in volume of intraoperative blood loss,operative time,postoperative exhaust time,time of hospital stay,and incidence of postoperative complication of patients between the two groups(P>0.05).The VAS score at 24h after operation of patients in group A was 2.6±1.3 points,which was significant lower than that(5.1±1.8 points)of patients in group B.The total aesthetic satisfaction of patients in group A was 95.4%,which was significant higher than that(79.1%)of patients in group B(P<0.05).At 1 month after operation,the serum E 2 level of patients in the two groups had decreased,while the levels of LH and FSH had increased(P<0.05),and there were no significant differences in the serum E 2,LH and FSH levels of patients between the groups(P>0.05).Conclusion:Single port and traditional multiport used in laparoscopic ovarian cystectomy has the same effectiveness and safety,but single port laparoscopic ovarian cystectomy leads less trauma to the body,and can effectively reduce postoperative pain and improve aesthetic satisfaction.