单孔腹腔镜与传统腹腔镜治疗卵巢肿瘤中的临床效果对比

Comparison of Clinical Effects between Single Port Laparoscopy and Traditional Laparoscopy in the Treatment of Ovarian Tumors

目的对比卵巢肿瘤治疗中传统腹腔镜与单孔腹腔镜手术的临床效果。方法回顾性选取2020年2月—2021年2月该院妇科卵巢肿瘤患者100例,依据手术方法分为单孔腹腔镜组、传统腹腔镜组两组,各50例。统计分析两组患者的疼痛程度、美容满意度、手术相关指标、卵巢功能、血清指标水平、术后并发症发生情况。结果术后1、3 d,单孔腹腔镜组患者的VAS评分低于传统腹腔镜组,差异有统计学意义(t=8.615、21.385,P<0.05);单孔腹腔镜组患者的美容满意度评分高于传统腹腔镜组,差异有统计学意义(t=27.840,P<0.05)。单孔腹腔镜组患者的术后排气时间、术后住院时间均短于传统腹腔镜组,差异有统计学意义(t=8.149、10.769,P<0.05)。两组患者手术后的血清FSH、LH、E^(2)、AMH水平均高于手术前,差异有统计学意义(P<0.05);手术前后,两组患者的血清FSH、LH、E^(2)、AMH水平对比,差异无统计学意义(P>0.05)。手术后,单孔腹腔镜组患者的血清β-HCG、CA125、HE4水平均低于传统腹腔镜组,差异有统计学意义(P<0.05)。单孔腹腔镜组和传统腹腔镜组患者的术后并发症发生率52.00%(26/50)、56.00%(28/50)之间差异无统计学意义(χ^(2)=0.161,P>0.05)。结论卵巢肿瘤治疗中单孔腹腔镜手术的临床效果较传统腹腔镜手术好,临床价值显著。

Objective To compare the clinical effects of traditional laparoscopic and single port laparoscopic surgery in the treatment of ovarian tumors.Methods A retrospective selection of 100 patients with gynecological ovarian tumors in the hospital from February 2020 to February 2021 were divided into single port laparoscopic group and traditional laparoscopic group,with 50 cases in each group.Statistical analysis of the pain degree,cosmetic satisfaction,surgery-related indexes,ovarian function,serum index levels,and postoperative complications of the two groups of patients were statistically analyzed.Results At 1 and 3 days after operation,the VAS score of patients in the single hole laparoscopic group was lower than that in the traditional laparoscopic group,the difference was statistically significant(t=8.615,21.385,P<0.05);the cosmetic satisfaction score of patients in the single hole laparoscopic group was higher than that in the traditional laparoscopic group,the difference was statistically significant(t=27.840,P<0.05).The postoperative exhaust time and postoperative hospital stay in the single hole laparoscopic group were shorter than those in the traditional laparoscopic group,the difference was statistically significant(t=8.149,10.769,P<0.05).The levels of serum FSH,LH,E^(2) and AMH after operation were significantly higher than those before operation,the difference was statistically significant(P<0.05);there was no significant difference in the levels of serum FSH,LH,E^(2) and AMH between the two groups before and after operation(P>0.05).After the operation,the serum levels ofβ-HCG,CA125 and HE4 in the single port laparoscopic group were lower than those in the traditional laparoscopic group,the difference was statistically significant(P<0.05).There was no significant difference in the incidence of postoperative complications between the single port laparoscopic group and the traditional laparoscopic group of 52.00%(26/50)and 56.00%(28/50)(χ^(2)=0.161,P>0.05).Conclusion The clinical effect of single port laparoscopic surgery in the treatment of ovarian tumors is better than that of traditional laparoscopic surgery,the clinical effect is remarkable.