首页|经脐单孔腹腔镜与传统腹腔镜手术治疗卵巢囊肿的疗效对比

经脐单孔腹腔镜与传统腹腔镜手术治疗卵巢囊肿的疗效对比

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目的 探讨传统腹腔镜与经脐单孔腹腔镜治疗卵巢囊肿的效果.方法 回顾性选取2021年1月—2023年7月青海省妇女儿童医院妇产科收治的90例卵巢囊肿患者的临床诊疗资料,以手术方式不同分为对照组(n=45,行传统腹腔镜手术治疗)与研究组(n=45,经脐单孔腹腔镜手术治疗),对比两组的围术期指标、卵巢储备功能、并发症发生率.结果 两组手术时间、术中出血量对比,差异无统计学意义(P均>0.05).研究组术后肛门排气时间(16.34±1.54)h、住院时间(4.67±1.11)d均短于对照组的(20.88±1.85)h、(5.33±1.05)d,差异有统计学意义(t=12.652、2.898,P均<0.05).研究组的卵巢储备功能优于对照组,差异有统计学意义(P均<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 在卵巢囊肿患者的治疗中采取经脐单孔腹腔镜治疗较传统腹腔镜手术更具优势,可改善患者卵巢储备功能,缩短治疗时间,且安全性较高.
Comparison of the Efficacy of Transumbilical Single-hole Laparoscopy and Traditional Laparoscopy in the Treatment of Ovarian Cysts
Objective To explore the effect of traditional laparoscopy and transumbilical single-hole laparoscopy in the treatment of ovarian cyst.Methods Clinical diagnosis and treatment data of ninety patients with ovarian cysts ad-mitted to the Obstetrics and Gynecology Department of Qinghai Women and Children's Hospital from January 2021 to July 2023 were retrospectively selected,and divided into control group(n=45,traditional laparoscopic surgery)and study group(n=45,transumbilical single-port laparoscopic surgery)according to different surgical methods.Periopera-tive indexes,ovarian reserve function and complication rate were compared between the two groups.Results There was no statistically significant difference in operation time and intraoperative blood loss between the two groups(all P>0.05).The postoperative anal exhaust time(16.34±1.54)h and hospitalization time(4.67±1.11)d in the study group were shorter than(20.88±1.85)h and(5.33±1.05)d in the control group,and the differences were statistically signifi-cant(t=12.652,2.898,both P<0.05).The ovarian reserve function of the study group was better than that of the control group,and the difference was statistically significant(all P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion In the treatment of patients with ovarian cysts,tran-sumbilical single-hole laparoscopy has more advantages than traditional laparoscopic surgery,which can improve the ovarian reserve function of patients,shorten the treatment time,and have higher safety.

Avarian cystLaparoscopic surgeryTransumbilical single-port laparoscopy

张喜梅

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青海省妇女儿童医院妇产科,青海 西宁 810007

卵巢囊肿 腹腔镜手术 经脐单孔腹腔镜

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(22)