经脐单孔腹腔镜治疗卵巢良性肿瘤的临床效果研究

Study on clinical effect of transumbilical single-port laparoscopy in the treatment of benign ovarian tumors

目的 研究经脐单孔腹腔镜治疗卵巢良性肿瘤的效果。方法 选择64例卵巢良性肿瘤患者作为观察对象,按照随机数字法分为研究组和对照组,每组32例。对照组行三孔腹腔镜卵巢良性肿瘤剔除术,研究组行经脐单孔腹腔镜卵巢良性肿瘤剔除术。比较两组手术指标(术中出血量、手术时间、麻醉时间、首次下床时间、首次排气时间、尿管拔除时间、住院时间),视觉模拟评分法(VAS)评分和切口修复满意度评分。结果 研究组手术时间(92.46±8.81)min长于对照组的(80.69±6.35)min,麻醉时间、首次下床时间、首次排气时间、尿管拔除时间、住院时间分别为(108.37±6.10)min、(10.26±2.62)h、(14.06±2.21)h、(8.29±2.12)h、(3.15±1.34)d,短于对照组的(115.89±5.72)min、(15.03±2.75)h、(16.39±2.35)h、(13.27±2.10)h、(5.04±1.32)d,差异具有统计学意义(P<0.05);研究组术中出血量虽多于对照组,但组间比较差异无统计学意义(P>0.05)。研究组术后24、72 h的VAS评分分别为(2.14±0.20)、(1.15±0.23)分,低于对照组的(4.85±0.22)、(2.56±3.28)分,切口修复满意度评分(4.53±0.27)分高于对照组的(3.23±0.23)分,差异具有统计学意义(P<0.05)。结论 运用经脐单孔腹腔镜治疗卵巢良性肿瘤可降低疼痛感,缩短术中、术后恢复所需的时间,值得临床推广运用。

Objective To study the effect of transumbilical single-port laparoscopy in the treatment of benign ovarian tumors.Methods 64 patients with benign ovarian tumor were selected as observation subjects and divided into a study group and a control group according to random number method,with 32 cases in each group.The control group underwent three-port laparoscopic removal of benign tumors,and the study group underwent transumbilical single-port laparoscopic removal of benign tumors.Both groups were compared in terms of surgical indicators(intraoperative blood loss,operation time,anesthesia time,first off-bed time,first exhaust time,catheter removal time,length of hospital stay),visual analogue scale(VAS)score and incision repair satisfaction score.Results The operation time of(92.46±8.81)min in the study group was longer than(80.69±6.35)min in the control group;the anesthesia time,first off-bed time,first exhaust time,catheter removal time and length of hospital stay were(108.37±6.10)min,(10.26±2.62)h,(14.06±2.21)h,(8.29±2.12)h and(3.15±1.34)d in the study group,which were shorter than(115.89±5.72)min,(15.03±2.75)h,(16.39±2.35)h,(13.27±2.10)h and(5.04±1.32)d in the control group;the difference was statistically significant(P<0.05).The intraoperative blood loss in the study group was more than that in the control group,but there was no significant difference between the two groups(P>0.05).The VAS scores in the study group at 24 and 72 h after surgery were(2.14±0.20)and(1.15±0.23)points,which were lower than(4.85±0.22)and(2.56±3.28)points in the control group;the incision repair satisfaction score of(4.53±0.27)points in the study group was higher than(3.23±0.23)points in the control group.The difference was statistically significant(P<0.05).Conclusion The use of transumbilical single-port laparoscopy for the treatment of benign ovarian tumors can reduce pain and shorten the time required for intraoperative and postoperative recovery,and is worthy of clinical promotion.