通讯作者: 陈新艳, chenxinyan2818@163.com

DOI：10.12201/bmr.202410.00071

Efficacy of the single-port laparoscopic technique in the treatment of ovarian cysts

• 摘要：目的 探讨单孔腹腔镜下卵巢囊肿剔除手术的临床果效和安全性。方法 回顾性分析本院于2023年1月至2024年6月因卵巢囊肿行腹腔镜手术治疗的145例患者的临床资料，其中行单孔腹腔镜下卵巢囊肿剔除术+卵巢成形术为单孔组（病例数为67），行传统多孔腹腔镜下卵巢囊肿剔除术+卵巢成形术为多孔组（病例数为78）。记录并对比两组患者手术中及手术后的临床指标。结果 两组均未中转开腹,单孔腹腔镜组与多孔腹腔镜组手术时间110.0（90.0，126.0）min vs. 81.0（60.0，106.0）min,Z = 4.337,P ＜0.001,术后1天疼痛用数字评价量表法评分0（0，1.0）分 vs. 0（0，2.0）分,Z = 2.303,P=0.021,提示单孔组手术时间长，但术后疼痛更轻。单孔组与多孔组术中出血量50.0（20.0，50.0）ml vs.40.0（20.0，50.0）ml、术后排气时间22.00（18.31，25.43）h vs.21.44（17.51，23.81）h、术后住院时间4.0（3.0，4.0）d vs.4.0（3.0，5.0）d、住院费用14965.26(13456.63,16095.21)元vs.14027.65(12220.89,16309.93)元，差异无统计学意义(P > 0. 05)。两组术中均未发生腹壁血管、神经损伤,术后均未发生切口感染、肠梗阻、下肢静脉血栓形成等并发症,切口愈合好。出院后继续随访三个月，发现两种手术方式对患者的月经均无明显影响，均未出现卵巢囊肿短期复发。结论 单孔腹腔镜技术治疗卵巢囊肿切口隐蔽美观，术后疼痛更轻，对月经无明显影响，疗效确切安全，值得临床的推广和普及。

  关键词： 卵巢囊肿 单孔腹腔镜 多孔腹腔镜 囊肿剔除

   

  Abstract: Objective To explore the clinical efficacy and safety of single-port laparoscopic ovarian cyst removal surgery. Methods A retrospective analysis was performed on the clinical data of 145 patients who underwent laparoscopic surgery for ovarian cysts in our hospital from January 2023 to June 2024.Among them, single-port laparoscopic ovarian cystectomy + oophoroplasty was performed in the single-port group (The number of cases was 67), and traditional multi-port laparoscopic ovarian cystectomy + oophoroplasty was performed in the multi-port group (The number of cases was 78).Clinical indicators during and after surgery in the two groups were recorded and compared. Results Neither group was converted to laparotomy,Single-port laparoscopic group and multi-port laparoscopic group 110.0 (90.0, 126.0) min vs. 81.0 (60.0, 106.0) min, Z = 4.337, P <0.001, 1 day postoperative pain was scored by numerical evaluation scale 0 (0, 1.0) points vs. 0 (0, 2.0) points, Z = 2.303, P=0.021,The results suggest that the single-port group has a longer operation time but less postoperative pain.Intraoperative blood loss 50.0 (20.0, 50.0) ml vs. 40.0 (20.0, 50.0) ml, postoperative exhaust time 22.00 (18.31, 25.43) h vs. 21.44 (17.51, 23.81) h, postoperative hospital stay 4.0 (3.0, 4.0) d vs. 4.0 (3.0, 5.0) d, hospitalization cost 14965.26 ( 13456.63, 16095.21) vs. 14027.65 (12220.89, 16309.93) yuan, were not significantly different between the two groups(P>0.05).There was no abdominal wall vascular or nerve injury in the two groups, and no complications such as incision infection, intestinal obstruction, and venous thrombosis of the lower limbs occurred after surgery, and the incision healed well. Further followed-up for three months after discharge, it was found that either surgical procedure had no significant effect on the patients menstruation, and there was no short-term recurrence of ovarian cysts in either case. Conclusion The single-port laparoscopic technique for the treatment of ovarian cyst incision is concealed and beautiful, the postoperative pain is lighter, No obvious effect on menstruation,and the curative effect is definite and safe, which is worthy of clinical promotion and popularization.

  Key words: Ovarian cysts Single-port laparoscopy Multi-porous laparoscopy Cyst removal

  提交时间：2024-10-28

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
• html

• 图表

• 刘高新丽, 张嘉程, 赵思源, 李华南, 王金贵. 中医外治法治疗腹腔镜术后胃肠功能障碍研究进展. 2024. doi: 10.12201/bmr.202412.00040

  徐婧, 柯清仙, 黄丽敏, 刘晓莺, 林丽珍. 基于LEARNS模式的健康教育对腹腔镜前列腺癌根治术后尿失禁患者的效果研究. 2024. doi: 10.12201/bmr.202409.00038

  续万荣, 康子明, 尚攀峰. 机器人辅助腹腔镜技术应用于高危UTUC的研究进展. 2024. doi: 10.12201/bmr.202409.00018

  刘鲁亮, 孙金环, 吴晓飞, 张圆圆, 顾博宇, 郭福林. 开窗减压术与刮治术比较治疗颌骨囊肿临床效果的meta分析. 2024. doi: 10.12201/bmr.202408.00021

  王梦雪, 石明晴. 基于“厥阴为阖”论治卵巢储备功能减退探析. 2024. doi: 10.12201/bmr.202411.00063

  郑兰芳. 经耳后发际线入路腔镜手术治疗腮腺肿瘤的效果观察与护理. 2024. doi: 10.12201/bmr.202410.00072

  蔡嘉辉, 农光任, 李鸿海, 卢保德, 黄勇平. 双镜联合治疗肾或输尿管上段结石的疗效分析. 2024. doi: 10.12201/bmr.202408.00067

  汤晶晶, 文军. 左上颌中切牙根管钙化伴根侧囊肿1例. 2024. doi: 10.12201/bmr.202412.00065

  田梦娇, 张爱琴. 卵巢癌术后分型辨治经验. 2024. doi: 10.12201/bmr.202411.00016

  李威, 耿中利, 昂沙尔·苏来曼. 腔镜甲状腺癌手术中神经监测技术的演进. 2024. doi: 10.12201/bmr.202411.00051

• 序号	提交日期	编号	操作
  1	2024-09-09	bmr.202410.00071V1	下载

• 公开评论  匿名评论  仅发给作者 提交评论