经阴道单孔腹腔镜卵巢囊肿剔除术治疗良性卵巢肿瘤的临床研究

Clinical Study of Transvaginal Laparoscopic Ovarian Cyst Removal for Benign Ovarian Tumor

目的探讨经阴道单孔腹腔镜卵巢囊肿剔除术治疗良性卵巢肿瘤的效果。方法选择某院妇科2018年1月1日-2020年3月30日收治的良性卵巢肿瘤患者65例,根据手术方式不同分为2组,观察组35例接受经阴道单孔腹腔镜卵巢囊肿剔除术,对照组30例接受多孔腹腔镜卵巢囊肿剔除术。比较两组临床指标、美观满意度、雌激素水平、窦卵泡数目(AFC)、卵巢基质收缩期峰值流速(PSV)、搏动指数(PI)、阻力指数(RI)。结果两组手术时间、术中出血量、术后排气时间、术后住院时间差异均无统计学意义(P>0.05),术后24小时Hb下降值、最高体温差异均无统计学意义(P>0.05),观察组术后疼痛VAS评分低于对照组(P<0.01),差异有统计学意义;术后1周、4周观察组BIS评分均低于对照组(P<0.05,P<0.01),CS评分均高于对照组(P<0.01),差异均有统计学意义;术前及术后两组雌二醇(E2)、促黄体生成素(LH)、促卵泡生成素(FSH)、AFC、PSV、PI、RI组间比较差异无统计学意义(P>0.05)。结论经阴道单孔腹腔镜卵巢囊肿剔除术可减轻手术创伤和疼痛,保护卵巢功能和机体细胞免疫功能,提高美观满意度,是卵巢良性肿瘤治疗的优选手术方案。

Objective To investigate the effect of transvaginal laparoscopic ovarian cyst removal in the treatment of benign ovarian tumors.Methods 65 patients with benign ovarian tumor admitted to our hospital from January 1,2018 to March 30,2020 were divided into two groups according to the operation method.The observation group(35 cases)received laparoscopic ovarian cyst removal through vagina,and the control group(30 cases)received porous laparoscopic ovarian cyst removal.The clinical indexes,aesthetic satisfaction,estrogen level,number of antral follicles(AFC),peak systolic velocity(PSV),pulsatility index(PI),resistance index(RI)were compared between the two groups.Results There was no significant difference between the two groups in operation time,intraoperative bleeding volume,postoperative exhaust time and postoperative hospital stay(P>0.05),there was no significant difference in the decrease value of Hb in 24 hours after operation and the highest body temperature(P>0.05).The VAS score of the observation group were lower than those of the control group(P<0.01),and the difference was statistically significant.The BIS score of the observation group was lower than that of the control group(P<0.05,P<0.01),and the CS score was higher than that of the control group(P<0.01),and the difference was statistically significant There was no significant difference in estradiol(E2),luteinizing hormone(LH),follicle stimulating hormone(FSH),AFC,PSV,PI,RI between the two groups(P>0.05).Conclusion Transvaginal laparoscopic ovarian cyst removal can reduce the trauma and pain,protect the ovarian function and cellular immune function,and improve the aesthetic satisfaction.It is the best choice for the treatment of ovarian benign tumor.