单孔腹腔镜手术治疗卵巢良性肿瘤的临床效果探讨

The Clinical Effect of Single Port Laparoscopic Surgery in the Treatment of Benign Ovarian Tumors

目的研究分析单孔腹腔镜手术治疗卵巢良性肿瘤患者的临床效果。方法以在该院治疗的140例卵巢良性肿瘤患者为研究对象,选定时段范围2020年1—12月,以随机数表法均分为对照组与研究组,每组70例,其中对照组患者以传统的多孔腹腔镜手术进行治疗,研究组以单孔腹腔镜进行治疗,以患者手术情况、卵巢功能、疼痛程度、并发症发生率为观察指标,对两组患者观察结果予以统计比较。结果研究组手术时间(64.47±6.29)min长于对照组,术中出血量(51.16±5.75)mL少于对照组,术后排气时间(15.44±2.38)h、住院时间(3.45±1.03)d均短于对照组,差异有统计学意义(t=5.000、19.245、10.951、8.122,P<0.05)。对照组黄体生成素(LH)、促卵泡激素(FSH)、雌二醇(E2)水平分别为(20.74±2.57)U/L、(23.45±2.16)U/L、(259.45±10.24)pmol/L,研究组分别为(20.27±2.49)U/L、(23.02±2.04)U/L、(260.84±10.27)pmol/L,差异无统计学意义(P>0.05)。研究组疼痛评分手术后24 h(2.61±0.52)分、72 h(1.24±0.31)分明显低于对照组,差异有统计学意义(t=12.620、20.277,P<0.05)。两组并发症发生率比较差异无统计学意义(P>0.05)。结论卵巢良性肿瘤患者应用单孔腹腔镜手术治疗的效果更显著,有助于改善患者卵巢功能,减轻患者疼痛程度,具有创伤轻、术后恢复快等特点,值得临床推荐应用。

Objective To study and analyze the clinical effect of single port laparoscopic surgery in patients with benign ovarian tumors.Methods Taking 140 patients with benign ovarian tumors treated in the hospital as the research object,the selected time period ranges from January to December 2020,according to the random number table method,they were divided into the control group and the test group,70 cases per group.Among them,the patients in the control group were treated with traditional multi-port laparoscopy,and the test group was treated with single port laparoscopy,based on the patient's operation status,ovarian function,pain degree,and complication rate as observation indicators,the observation results of the two groups of patients were statistically compared.Results The operation time of the study group(64.47±6.29)min was longer than that of the control group,the intraoperative blood loss(51.16±5.75)mL was less than that of the control group,the postoperative exhaust time(15.44±2.38)h,and the hospital stay(3.45±1.03)d were both shorter than the control group,the difference was statistically significant(t=5.000,19.245,10.951,8.122,P<0.05).The levels of luteinizing hormone(LH),follicle stimulating hormone(FSH),and estradiol(E2)in the control group were(20.74±2.57)U/L,(23.45±2.16)U/L,and(259.45±10.24)pmol/L,the study group were(20.27±2.49)U/L,(23.02±2.04)U/L,(260.84±10.27)pmol/L,the difference was not statistically significant(P>0.05).The pain scores of the study group at 24 h(2.61±0.52)points and 72 h(1.24±0.31)points after surgery were significantly lower than those of the control group,and the difference was statistically significant(t=12.620,20.277,P<0.05).There was no statistically significant difference in the incidence of complications between the two groups(P>0.05).Conclusion Patients with benign ovarian tumors are treated with single port laparoscopic surgery,which can help improve the ovarian function of the patients and reduce the pain of the patients.It has the characteristics of light trauma and quicker recovery after surgery.It is worthy of clinical recommendation.