摘要
目的:探讨经脐穿刺三通道腹腔镜在卵巢良性肿瘤手术中的应用效果。方法:收集2021年1月至2022年3月拟接受手术治疗的卵巢良性肿瘤患者80例,采取随机数字表法分为研究组和对照组各40例。研究组行改良经脐三通道法腹腔镜下卵巢肿瘤剥除术,对照组行常规单孔腹腔镜下卵巢肿瘤剥除术。比较两组患者的手术一般情况、术后并发症、术后疼痛情况及术后切口美容效果的差异。结果:研究组手术时间、术中出血量均少于对照组,住院费用低于对照组(P<0.05)。两组术后住院时间、术后肛门排气时间及下床活动时间差异无统计学意义(P>0.05)。研究组术后并发症总发生率为2.50%(1/40),低于对照组的15.00%(6/40,P<0.05)。两组术后3 d视觉模拟评分法(VAS)评分均低于术后1 d,术后6个月切口美容效果评分均高于术后1个月(P<0.05)。研究组术后1、3 d VAS评分均低于对照组,术后1、6个月切口美容效果评分均高于对照组(P<0.05)。结论:经脐穿刺三通道腹腔镜在卵巢良性肿瘤手术中效果与常规单孔腹腔镜手术相似,但手术时间更短、术中出血量更少、并发症更少、疼痛感更轻、美容效果更佳,可作为优选术式。
Objective:To investigate the application effect of three channel laparoscopy via umbilical puncture in the operation of benign ovarian tumors.Methods:From January 2021 to March 2022,80 patients with benign ovarian tumors who were scheduled to receive surgical treatment in our hospital were collected,and divided into a research group and a control group by random number table.The research group was treated with modified umbilical three channel laparoscopic ovarian tumor enucleation,while the control group was treated with conventional single port laparoscopic ovarian tumor enucleation.The differences between the two groups in the general condition of operation,postoperative complications,postoperative pain and the cosmetic effect of incision were compared.Results:The operation time,and intraoperative blood loss in the research group were lower than those in the control group,the hospitalization cost in the research group was lower than that in the control group(P<0.05).There was no significant difference between the two groups in terms of hospital stay,anal exhaust time and activity time leaving bed after operation(P>0.05).The total incidence of postoperative complications in the research group was 2.50%(1/40),which was lower than that in the control group 15.00%(6/40,P<0.05).The scores of visual analogue scale(VAS)3days after operation in both groups were lower than that in the same group 1 day after operation,and the score of incision beauty effect 6 months after operation in the research group was higher than that in the same group 1 month after operation(P<0.05).The VAS scores in the research group on the first day and the third day after operation were lower than those in the control group,and the scores of incision beauty effect on the first month and the sixth month after operation were higher than those in the control group(P<0.05).Conclusion:The effect of three channel laparoscopy via umbilical puncture in the operation of benign ovarian tumors is similar to that of conventional single hole laparoscopy,but the operation time is shorter,the amount of intraoperative bleeding is less,the complications are less,the pain is less,and the cosmetic effect is better,which can be used as the optimal operation method.
作者
周爱龙
万玉珍
ZHOU Ailong;WAN Yuzhen(Department of Gynecology,Jiangxi Maternal and Child Health Hospital,Jiangxi Province,Nanchang 330006,China)
出处
《上海医药》
CAS
2022年第24期22-25,35,共5页
Shanghai Medical & Pharmaceutical Journal
基金
江西省卫生健康委科技计划(202211081)。
关键词
卵巢良性肿瘤
腹腔镜
并发症
疼痛
美容效果
benign ovarian tumor
laparoscope
complication
pain
beauty effect
