摘要
目的探讨经脐单孔腹腔镜联合体外囊肿剥除治疗卵巢巨大囊肿及盆腔巨大囊性包块(长径>10 cm)的安全性和有效性。方法选择2019年1月至2022年1月在郑州大学第二附属医院就诊的84例卵巢巨大囊肿及盆腔巨大囊性包块患者为研究对象,包块长径10~32 cm。按照随机数字表法分为观察组与对照组,每组42例。观察组行经脐单孔腹腔镜联合体外囊肿剥除术,对照组行多孔腹腔镜囊肿剥除术,比较两组手术时间、术中出血量、囊液外溢率、术后24 h视觉模拟评分法(VAS)评分。结果两组患者均顺利完成手术。两组手术时间比较差异未见统计学意义(P>0.05),观察组术中出血量明显少于对照组,囊液溢出率显著低于对照组,术后24 h切口疼痛VAS评分明显低于对照组,差异有统计学意义(P<0.05)。术后随访6~18个月,无囊肿复发。结论卵巢巨大囊肿及盆腔巨大囊性包块经术前严密评估后,行经脐单孔腹腔镜探查联合体外囊肿剥除术有显著优势,且安全可行,疗效可靠。
Objective To investigate the safety and efficacy of trans-umbilical single-port laparoscopy combined with extracorporeal stripping of cyst in the treatment of giant ovarian cysts and pelvic cystic masses(diameter>10 cm).Methods From January 2019 to January 2022,84 patients with giant ovarian cysts and giant pelvic cystic masses were selected from the Second Affiliated Hospital of Zhengzhou University,the long diameter of the mass was 10~32 cm.According to the method of random number table,they were divided into observation group and control group,with 42 cases in each group.The patients in the observation group were treated with trans-umbilical single-port laparoscopy combined with exfoliation of cyst,while the patients in the control group were treated with multi-port laparoscopic cystectomy.The operative time,blood loss during operation,cyst fluid overflow rate and visual analogue scale(VAS)score at 24 hours after operation were compared between the two groups.Results The operation was successfully completed in both groups.There was no significant difference in the operation time between the two groups(P>0.05).The intraoperative blood loss in the observation group was significantly lower than that in the control group,the rate of sac overflow was significantly lower than that in the control group,and the incision pain VAS score 24 hours after surgery was significantly lower than that in the control group,the differences were significant(P<0.05).There was no recurrence of cyst during 6-18 months of follow-up.Conclusions After strict preoperative evaluation of giant ovarian cysts and pelvic cystic masses,transumbilical single-port laparoscopic exploration combined with extracorporeal cystectomy has significant advantages,which is safe,feasible,and reliable.
作者
方莹
袁博
王利君
赵虎
Fang Ying;Yuan Bo;Wang Lijun;Zhao Hu(Department of Gynecology,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450014,China)
出处
《临床医学》
CAS
2024年第3期1-4,共4页
Clinical Medicine
关键词
腹腔镜
卵巢巨大囊肿
体外剥除
Laparoscopy
Giant ovarian cyst
Extracorporeal exfoliation
