经脐单孔腹腔镜镜下联合体外操作模式治疗卵巢良性肿瘤效果评价

Treatment of benign ovarian tumors by transumbilical single-port laparoscopy combined with in vitro operation mode

目的探讨经脐单孔腹腔镜镜下联合体外操作模式在治疗卵巢良性肿瘤中的可行性与临床疗效。方法分析2019年10月至2023年2月在南京医科大学附属常州第二人民医院妇科通过手术治疗的81例卵巢良性肿瘤的患者临床资料,根据患者的手术方式分为单孔腹腔镜镜下联合体外操作模式组(A组,27例,简称联合组)、纯单孔腹腔镜镜下操作组(B组,27例,简称单孔组)以及传统多孔腹腔镜操作组(C组,27例,简称多孔组)。所有患者术后病理均明确诊断为卵巢良性肿瘤。对3组患者的手术时间、术中出血量、术后通气时间、术后恢复正常活动时间、术后住院天数、术后视觉模拟评分法(VAS)评分、手术满意度及切口满意度进行统计分析。结果在术中出血量、术后通气时间、术后住院天数、术后VAS评分及术后恢复正常活动时间方面,A组明显优于B、C组,差异具有统计学意义(P<0.05);在手术时间方面,A组仅优于B组(P<0.05),与C组无显著差异(P>0.05)。B组在术后通气时间、术后住院天数、术后VAS评分及术后恢复正常活动时间方面明显优于C组,差异具有统计学意义(P<0.05)。结论经脐单孔腹腔镜镜下联合体外模式治疗卵巢良性肿瘤是可行的,患者恢复时间更短、术后满意度更高,疗效显著,值得在临床针对合适人群推广使用。

Objective To explore the feasibility and clinical effect of transumbilical single-hole laparoscopy combined with in vitro operation mode in the treatment of benign ovarian tumors.Methods The clinical data of 81 patients with benign ovarian tumors treated by surgery in the Department of Gynecology of Changzhou No.2 People’s Hospital,the Affiliated Hospital of Nanjing Medical University from October 2019 to February 2023 were analyzed.According to the surgical methods,the patients were divided into A single-hole laparoscopic combined with in vitro operation mode group(Group A,27 cases,referred to as the combined group),a pure single-hole laparoscopic operation group(group B,27 cases,referred to as the single-hole group)and a traditional porous laparoscopic operation group(group C,27 cases,referred to as the porous group).All patients were diagnosed as benign ovarian tumors by postoperative pathology.The operation time,intraoperative blood loss,postoperative ventilation time,postoperative time to return to normal activities,postoperative hospital stay,postoperative VAS score,postoperative surgical satisfaction and incision satisfaction of the three groups were statistically analyzed.Results In terms of intraoperative blood loss,postoperative ventilation time,postoperative hospital stay,postoperative VAS score and postoperative normal activity time,group A was significantly better than group B and C,the difference was statistically significant(P<0.05).In terms of operation time,group A was better than group B(P<0.05),but there was no significant difference between group C and group A(P>0.05).Postoperative ventilation time,postoperative hospital stay,postoperative VAS score and postoperative normal activity time in group B were significantly better than those in group C,with statistical significance(P<0.05).Conclusion Transumbilical single-hole laparoscopy combined with in vitro mode for the treatment of benign ovarian tumors is feasible,the recovery time of patients is shorter,the postoperative satisfaction is higher,the effect is significant,and it is worthy of promotion and use in the clinic for the appropriate population.