Comparison of Effect of Traditional Multi-port Laparoscopic Ovarian Cystectomy and Transumbilical Single-port Laparoscopic Ovarian Cystectomy in the Treatment of Ovarian Endometriotic Cysts
Objective:To investigate the effect comparison of traditional multi-port laparoscopic ovarian cystectomy and transumbilical single-port laparoscopic ovarian cystectomy in the treatment of ovarian endometriotic cysts.Method:A total of 82 patients who underwent laparoscopic ovarian cystectomy due to ovarian endometriotic cysts in Longyan First Hospital Affiliated to Fujian Medical University from September 2021 to September 2022 were selected as the study subjects,and they were divided into observation group and control group according to the random number table method,41 cases in each group.The observation group was treated with transumbilical single-port laparoscopic ovarian cystectomy,while the control group received traditional multi-port laparoscopic ovarian cystectomy.The surgery-related indicators,ovarian function-related indicators,occurrence of postoperative complications,and patient satisfaction were compared between the two groups.Result:Compared with the control group,the operation time in the observation group was shorter,but the difference was not statistically significant(P>0.05),the intraoperative blood loss in the observation group was less,the postoperative exhaust time and hospital stay were shorter,the differences were statistically significant(P<0.05).One month after surgery,the ovarian diameter of both groups were lower than those before surgery,and the differences were statistically significant(P<0.05).One month after surgery,the number of sinus follicles in observation group was more than that in control group,and the ovarian diameter was larger than that in control group,but the differences were not statistically significant(P>0.05).At 3 months after surgery,estradiol(E2)decreased,follicle stimulating hormone(FSH)and luteinizing hormone(LH)increased in both groups,and the differences were statistically significant(P<0.05).The level of E2 in the observation group was lower than that in the control group at 3 months after surgery,and the level of FSH and LH were higher than those in the control group,but the differences were not statistically significant(P>0.05).The incidence of postoperative complications in the observation group was lower than that in the control group,and the satisfaction with incision was higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion:Compared with traditional multi-port laparoscopic ovarian cystectomy,transumbilical single-port laparoscopic ovarian cystectomy has the advantages of reducing intraoperative blood loss and incidence rates of postoperative complications,promoting postoperative rehabilitation,and improving patient satisfaction with postoperative incision.
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