经脐单孔腹腔镜体外剥除良性巨大卵巢囊肿的临床分析  

Clinical Analysis of Transumbilical Single-Port Laparoscopic Extracorporeal Ovarian Cystectomy for Benign Giant Ovarian Cysts

作　　者：许鑫玥 邓玉艳[1] 李俊强 马婉莹 李涛[1] XU Xinyue;DENG Yuyan;LI Junqiang(Department of Obstetrics and Gynaecology,The Third People′s Hospital of Chengdu,Chengdu Sichuan 610031,China)

机构地区：[1]成都市第三人民医院妇产科,四川成都610031

出　　处：《实用妇产科杂志》2024年第4期306-309,共4页Journal of Practical Obstetrics and Gynecology

摘　　要：目的:探讨经脐单孔腹腔镜体外剥除良性巨大卵巢囊肿的安全性和可行性。方法:回顾性分析成都市第三人民医院2021年10月至2022年9月收治的行经脐单孔腹腔镜治疗的72例良性巨大卵巢囊肿患者的临床资料,其中单孔腹腔镜体外剥除囊肿31例(单孔体外剥除组),单孔腹腔镜体内剥除囊肿41例(单孔体内剥除组),比较两组手术时间、术中气腹使用时间、术中出血量、术中囊液渗漏率、术后肛门排气时间、术后24小时疼痛程度、术后住院时间等。结果:术中囊液渗漏率单孔体外剥除组(0 vs.21.1%)明显低于单孔体内剥除组(P<0.05)。单孔体外剥除组手术时间(60.19±5.64分钟vs.72.02±6.89分钟)、术中气腹使用时间(15.23±2.69分钟vs.53.83±6.74分钟)及术后肛门排气时间(28.16±3.53小时vs.32.24±3.87小时)均短于单孔体内剥除组(P<0.05)。两组术中出血量、术后24小时疼痛视觉模拟(VAS)评分及术后住院时间比较差异无统计学意义(P>0.05)。结论:单孔腹腔镜体外剥除囊肿手术在良性巨大卵巢囊肿剥除术中可以极大程度避免术中囊液腹腔内渗漏,更加遵循手术无瘤原则,同时缩短手术时间,促进术后快速康复,此手术方式安全可行,值得临床推广。Objective:To explore the safety and feasibility of exfoliation of benign giant ovarian cysts by umbilical single-port laparoscopy.Methods:A retrospective analysis was conducted on the clinical data of 72 patients with benign giant ovarian cysts treated with umbilical single-port laparoscopy in the gynecology department of the Third People′s Hospital of Chengdu from October 2021 to September 2022.Among them,31 patients were in the single-port laparoscopy extracorporeal ovarian cystectomy group and 41 patients were in the single-port laparoscopy intracorporal ovarian cystectomy group.The surgical time,intraoperative pneumoperitoneum usage time,intraoperative bleeding volume,intraoperative cyst rupture rate,and postoperative anal exhaust recovery time were compared and observed between the two groups pain level within 24 hours after surgery,length of hospital stay.Results:The intraoperative leakage rate of cystic fluid was significantly lower in the single-port laparoscopy extracorporeal ovarian cystectomy group(0 vs.21.1%)than in the single-port laparoscopy internal ovarian cystectomy group(P<0.05).The surgical time(60.19±5.64 min vs.72.02±6.89 min),intraoperative pneumoperitoneum usage time(15.23±2.69 min vs.53.83±6.74 min),and postoperative anal exhaust recovery time(28.16±3.53 h vs.32.24±3.87 h)of the single-port laparoscopy extracorporeal ovarian cystectomy group were all shorter than those of the single-port laparoscopy intracorporal ovarian cystectomy group(P<0.05).There was no difference in intraoperative bleeding volume,postoperative 24-hour VAS score,and postoperative hospital stay between the two groups(P>0.05).Conclusions:In the huge ovarian cyst excision operation,the single-port laparoscopy extracorporeal ovarian cystectomy can greatly avoid intraoperative cystic fluid leakage in the abdominal cavity,and follow the principle of non-tumor surgery.At the same time,it can shorten the operation time and promote the rapid recovery after the operation,which is safe and feasible and worthy of clinical

关 键 词：良性巨大卵巢囊肿 经脐单孔腹腔镜 体外囊肿剥除 

分 类 号：R737.31[医药卫生—肿瘤]