传统多孔腹腔镜卵巢囊肿剥除术与经脐单孔腹腔镜卵巢囊肿剥除术治疗卵巢子宫内膜异位囊肿的效果对比  

Comparison of Effect of Traditional Multi-port Laparoscopic Ovarian Cystectomy and Transumbilical Single-port Laparoscopic Ovarian Cystectomy in the Treatment of Ovarian Endometriotic Cysts

作　　者：赖秋琴 黄建刚 胡职青 刘永峰 LAI Qiuqin;HUANG Jiangang;HU Zhiqing;LIU Yongfeng(Longyan First Hospital Affiliated to Fujian Medical University,Longyan 364000,China;不详)

机构地区：[1]福建医科大学附属龙岩第一医院,福建龙岩364000

出　　处：《中外医学研究》2024年第16期119-123,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨传统多孔腹腔镜卵巢囊肿剥除术与经脐单孔腹腔镜卵巢囊肿剥除术治疗卵巢子宫内膜异位囊肿的效果。方法:选取2021年9月—2022年9月因卵巢子宫内膜异位囊肿于福建医科大学附属龙岩第一医院行腹腔镜囊肿剥除术的82例患者为研究对象,采用随机数表法将患者分为观察组和对照组,各41例。观察组采用经脐单孔腹腔镜卵巢囊肿剥除术,对照组则采用传统多孔腹腔镜卵巢囊肿剥除术。比较两组患者的手术相关指标、卵巢功能相关指标、术后并发症发生情况及患者满意度情况。结果:与对照组比较,观察组手术时间较短,但差异无统计学意义(P>0.05),观察组术中出血量更少,术后排气时间和住院时间更短,差异有统计学意义(P<0.05)。术后1个月,两组卵巢直径均较术前降低,差异有统计学意义(P<0.05);术后1个月,观察组患者的窦状卵泡数与对照组相比更多,卵巢直径与对照组相比更大,但差异无统计学意义(P>0.05)。术后3个月,两组雌二醇(estradiol,E2)均降低,卵泡刺激素(follicle stimulating hormone,FSH)、黄体生成素(luteinizing hormone,LH)均上升,差异有统计学意义(P<0.05),观察组术后3个月E2水平与对照组相比更低,FSH及LH水平与对照组相比更高,但差异无统计学意义(P>0.05)。观察组术后并发症发生率较对照组低,对切口的满意度较对照组高,差异有统计学意义(P<0.05)。结论:经脐单孔腹腔镜卵巢囊肿剥除术较传统多孔腹腔镜卵巢囊肿剥除术具有以下优势:减少术中出血量和术后并发症的发生率,促进患者术后康复,并提高患者对术后切口的满意度。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 contr

关 键 词：经脐单孔腹腔镜卵巢囊肿剥除术 卵巢子宫内膜异位囊肿 卵巢功能 性激素 并发症 

分 类 号：R737.31[医药卫生—肿瘤]