经脐单孔腹腔镜在卵巢良性肿瘤剔除术中的应用效果评价  

Evaluation on the Efficacy of Transumbilical Single Port Laparoscopic Surgery in the Removal of Benign Ovarian Neoplasms

作　　者：贾炎峰 张彦骅[1] 党云[1] 栾桦[1] 刘青[1] JIA Yan-feng;ZHANG YAN-hua;DANG Yun(Gansu Maternal Healthcare Hospital,Lanzhou,730050,China)

机构地区：[1]甘肃省妇幼保健院,兰州730050

出　　处：《中国初级卫生保健》2019年第3期31-33,共3页Chinese Primary Health Care

摘　　要：目的探讨经脐单孔腹腔镜手术治疗卵巢良性肿瘤的临床效果。方法选择2017年9月—2018年6月甘肃省妇幼保健院择期拟行卵巢良性肿瘤剔除术患者62例,根据手术方式不同分为传统腹腔镜手术(MPLS)组和经脐单孔腹腔镜手术(TULESS)组,每组31例。比较两组患者手术效果、卵巢功能、术后疼痛视觉模拟(Visual Analogue Scale,VAS)评分、体象量表(body image ques-tionnaire,BIS)评分、切口美观满意度(cosmetic score,CS)评分以及并发症情况。结果两组患者手术过程均顺利,且无并发症发生;手术时间、术中出血量、术后排气时间、术后血红蛋白下降幅度分别比较,差异无统计学意义(P>0.05),但住院时间TU-LESS组较MPLS组缩短,差异有统计学意义(P<0.01);两组术后E_2水平明显降低,LH和FSH水平显著升高(P<0.01),TU-LESS组较MPLS组手术后E_2、LH和FSH水平无明显差异(P>0.05);与MPLS组比较,TU-LESS组术后12h、24hVAS评分和BIS评分明显较低,CS评分明显较高,差异均具有统计学意义(P<0.01)。结论经脐单孔腹腔镜手术治疗卵巢良性肿瘤效果良好,能够缩短住院时间、减轻术后疼痛感,提升患者美观满意度,安全可行,值得临床推广。OBJECTIVE To explore the clinical observation of transumbilical single port laparoscopic surgery in treatment of benign ovarian tumors. METHODS 62 cases of benign ovarian tumors from September 2017 to June 2018 were selected and divided into traditional laparoscopic surgery( MPLS) group and transumbilical single-port laparoscopic surgery(TU-LESS) group, 31 cases in each group. The results of operation( operation time, intraoperative blood loss, postoperative exhaust time, postoperative hemoglobin reduction, length of hospital stay), ovarian function( E2, LH, FSH), Visual Analogue Scale( VAS), body image ques-tionnaire( BIS), cosmetic score( CS)and complications were compared between the two groups.RESULTS The operation process of the two groups was smooth without complications. The operative time, intraoperative blood loss, postoperative exhaust time and postoperative hemoglobin decrease were compared respectively, and the difference was not statistically significant(P> 0.05). The length of hospital stay in the tu-less group was shorter than that in the MPLS group, and the difference was statistically significant(P<0.01). After operation, E2 level was significantly decreased and LH and FSH levels were significantly increased(P<0.01) in the tu-less group compared with that in the MPLS group(P>0.05). Compared with the MPLS group, the 12 h, 24 hV AS and BIS scores of the tu-less group were significantly lower and CS scores were significantly higher, with statistically significant differences(P< 0.01). CONCLUSION Transumbilical single-port laparoscopic surgery for ovarian benign tumors had a good effect, which could shorten the hospital stays, relieve postoperative pain, improve patients’ aesthetic satisfaction, safety and feasibility, which was worthy of popularization in clinics.

关 键 词：卵巢良性肿瘤 经脐单孔腹腔镜 妇科手术 

分 类 号：R19[医药卫生—卫生事业管理]