腹腔镜微创手术和经脐单孔腹腔镜手术治疗卵巢良性肿瘤及其对卵巢功能影响的临床研究。

IF 1 4区 医学 Q3 SURGERY Journal of Minimal Access Surgery Pub Date : 2024-04-01 Epub Date: 2023-09-14 DOI:10.4103/jmas.jmas_211_22
Xiaolan Liang, Run Zhang, Liping Shi, Shufang Qi, Hongqian Guo, Yue Long, Yongxiu Yang
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引用次数: 0

摘要

目的:探讨传统腹腔镜手术和经脐单孔腹腔镜手术对卵巢良性肿瘤患者卵巢功能的影响。材料与方法:选取2020年1月至2021年6月在我院接受治疗的44例卵巢良性肿瘤患者,随机分为两组,根据随机数表,每组22例。常规组采用常规腹腔镜手术治疗,改良组采用经脐单孔腹腔镜手术治疗。测量方法为t检验,计数方法为两次检验。比较两组的临床手术相关指标、卵巢功能(卵泡刺激素、E2和黄体生成素)、并发症发生率、视觉模拟量表(VAS)和园林绿化满意度评分。结果:两组在并发症和手术时间上无显著差异(P>0.05)。治疗后,改良组的卵巢功能指标和美容满意度评分均显著优于常规组(P<0.05),改良组术后第1天和第3天的住院时间和三维VAS评分均低于常规组(P<0.05),促进术后快速恢复,提高患者对园林绿化的满意度。值得临床应用。
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Clinical study on laparoscopic minimally invasive surgery and transumbilical single-port laparoscopic surgery in the treatment of benign ovarian tumours and its influence on ovarian functions.

Objective: The objective of this study was to explore the influence of traditional laparoscopic surgery and transumbilical single-port laparoscopic surgery on ovarian function in patients with benign ovarian tumours.

Materials and methods: Forty-four patients with benign ovarian tumours who were treated in our hospital from January 2020 to June 2021 were selected and randomly divided into two groups, with 22 cases in each group according to random number table. The conventional group was treated with conventional laparoscopic surgery, while the modified group was treated with transumbilical single-port laparoscopic surgery. The measurement method was t -test, and the enumeration method was two tests. The clinical operation-related indicators, ovarian function (follicle-stimulating hormone, E 2 and luteinising hormone), complication incidence, Visual Analogue Scale (VAS) and landscaping satisfaction scores of the two groups were compared.

Results: There were no significant differences in complications and operation duration between the two groups ( P > 0.05). After treatment, the ovarian function indexes and beautification satisfaction scores of the modified group were significantly superior to those of the conventional group ( P < 0.05). Besides, the intraoperative bleeding volume, post-operative exhaust time, hospital stay and three-dimensional VAS scores on day 1 and day 3 after surgery of the modified group were lower than those of the conventional group ( P < 0.05).

Conclusion: Transumbilical single-port laparoscopic surgery for benign ovarian tumours has a significant clinical effect, which can effectively reduce bleeding during the operation, improve ovarian function, relieve surgical pain, promote rapid post-operative recovery and improve patients' satisfaction with landscaping. It is worthy of clinical application.

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来源期刊
CiteScore
1.70
自引率
0.00%
发文量
151
审稿时长
36 weeks
期刊介绍: Journal of Minimal Access Surgery (JMAS), the official publication of Indian Association of Gastrointestinal Endo Surgeons, launched in early 2005. The JMAS, a quarterly publication, is the first English-language journal from India, as also from this part of the world, dedicated to Minimal Access Surgery. The JMAS boasts an outstanding editorial board comprising of Indian and international experts in the field.
期刊最新文献
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