单孔免充气腹腔镜在巨大卵巢囊肿手术中的应用  

Application of gasless laparoendoscopic single site surgery in giant ovarian cysts

作　　者：汪慧慧 陈佳佳 张慧萍 朱丹阳 朱雪琼[2] WANG Huihui;CHEN Jiajia;ZHANG Huiping;ZHU Danyang;ZHU Xueqiong(Department of Obstetrics and Gynecology,Huangyan Hospital Affiliated to Wenzhou Medical University,Taizhou 318020,China;Department of Obstetrics and Gynecology,the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou 325027,China)

机构地区：[1]温州医科大学附属黄岩医院妇产科,浙江台州318020 [2]温州医科大学附属第二医院妇产科,浙江温州325027

出　　处：《温州医科大学学报》2024年第10期817-822,共6页Journal of Wenzhou Medical University

摘　　要：目的:探讨单孔免充气腹腔镜行巨大卵巢囊肿手术的可行性及应用价值。方法:回顾性分析2020年1月至2023年12月在温州医科大学附属黄岩医院因巨大卵巢囊肿行手术治疗的51例患者相关临床资料,其中26例行单孔免充气腹腔镜卵巢囊肿手术(研究组),25例行传统腹腔镜卵巢囊肿手术(对照组)。比较两组患者的围手术期情况、术后疼痛评分及并发症等。结果:两组患者间住院费用、术后住院时间、围术期并发症差异无统计学意义(P>0.05);研究组围术期疗效明显优于对照组,手术时间、术后首次肛门排气时间及术后首次下床活动时间均明显短于对照组,术中出血量明显少于对照组,卵巢囊肿内液外溢率明显低于对照组,切口美容满意度高于对照组(均P<0.05)。结论:对于巨大卵巢囊肿,单孔免充气腹腔镜手术具有手术时间短、出血量少、囊内液外溢率低、快速康复、经济、美容等优点,是一种安全、有效的手术方式。Objective:To explore the feasibility and application value of gasless laparoendoscopic single site surgery for giant ovarian cysts.Methods:Clinical data of 51 patients who underwent surgery for giant ovarian cysts from Huangyan Hospital Affiliated to Wenzhou Medical University between January 2020 and December 2023 were retrospectively analyzed,from which 26 cases of gasless laparoendoscopic single site surgery for ovarian cysts(the study group)and 25 cases of traditional laparoscopic surgery for ovarian cysts(the control group)were enrolled in this study.A comparative analysis of the perioperative surgical outcomes,postoperative pain scores and complications was conducted on the two groups.Results:There was no statistically significant difference in hospitalization costs,postoperative length of stay and perioperative complications(P>0.05).In comparison with the control group,the study group exhibited superior perioperative efficacy,as evidenced by reduced operation time,first anal exhaust time and first off bed time as well as less intraoperative bleeding,significantly lower rate of intracapsular fluid leakage,and higher degree of satisfaction with the incision cosmetic(all P<0.05).Conclusion:With the advantages of short operation time,minimal bleeding,low rate of intracapsular fluid leakage,quick recovery,good cost-effectiveness,and enhanced aesthetic appearance,gasless laparoendoscopic single site surgery is a safe and effective procedure for treating giant ovarian cysts.

关 键 词：免充气 单孔腹腔镜 巨大卵巢囊肿 手术 

分 类 号：R713.6[医药卫生—妇产科学]