首页|期刊导航|中外医学研究|三孔腹腔镜与经脐单孔腹腔镜下卵巢囊肿剥除术治疗卵巢囊肿的效果分析

三孔腹腔镜与经脐单孔腹腔镜下卵巢囊肿剥除术治疗卵巢囊肿的效果分析OA

Analysis of the Effect of Three Port Laparoscopic and Single Port Laparoscopic Ovarian Cystectomy for the Treatment of Ovarian Cysts

中文摘要英文摘要

目的:比较卵巢囊肿患者应用三孔腹腔镜与经脐单孔腹腔镜下卵巢囊肿剥除术治疗的效果.方法:随机抽选 2023 年1 月—2024 年 1 月重庆市酉阳土家族苗族自治县人民医院 98 例卵巢囊肿患者作为研究对象,按照随机数表法分为 A 组和 B 组,每组各 49 例.其中 A 组治疗方法为传统三孔腹腔镜卵巢囊肿剥除术,B 组治疗方法为经脐单孔腹腔镜下卵巢囊肿剥除术,比较两组卵巢囊肿剥除完全率、术前及术后 6 个月的雌二醇、促黄体生成素等卵巢储备功能指标水平、术后首次排气时间、住院时间.结果:两组卵巢囊肿剥除完全率比较,差异无统计学意义(P>0.05).术后 6 个月,两组雌二醇水平比较,B 组高于 A 组;两组促黄体生成素水平比较,B 组低于A组;两组术后首次排气时间、住院时间比较,B 组短于A 组,上述差异均有统计学意义(P<0.05).结论:对于卵巢囊肿患者而言,采用三孔腹腔镜与经脐单孔腹腔镜下卵巢囊肿剥除术治疗均能有效清除病变,但经脐单孔腹腔镜术不仅能减轻手术对卵巢储备功能的损伤,还能缩短患者预后周期.

Objective:To compare the efficacy of ovarian cystectomy via three-port laparoscopy versus transumbilical single-port laparoscopy in patients with ovarian cysts.Method:A total of 98 patients with ovarian cysts admitted to the Youyang Tujia and Miao Autonomous County People's Hospital from January 2023 to January 2024 were randomly selected as the research subjects and divided into Group A and Group B using a random number table method,with 49 cases in each group.Group A underwent traditional three-port laparoscopic ovarian cystectomy,while Group B received transumbilical single-port laparoscopic ovarian cystectomy.The complete cystectomy rates,ovarian reserve function indicators(estradiol and luteinizing hormone levels preoperatively and at 6 months postoperatively),first flatus time,and hospital stay were compared between the two groups.Result:There were no statistically significant differences in the complete cystectomy rates between the two groups(P>0.05).At 6 months postoperatively,estradiol levels were higher in Group B than in Group A.The levels of luteinizing hormone in Group B were lower than those in Group A.The time to first postoperative flatus and hospital stay in Group B were shorter than those in Group A.All the above differences were statistically significant(P<0.05).Conclusion:For patients with ovarian cysts,both three-port laparoscopy and transumbilical single-port laparoscopy can effectively remove the lesions.However,transumbilical single-port laparoscopy not only reduces the damage to ovarian reserve function but also shortens the recovery period for patients.

万琴;黄倩

重庆市酉阳土家族苗族自治县人民医院 重庆 酉阳 409800重庆市酉阳土家族苗族自治县人民医院 重庆 酉阳 409800

三孔腹腔镜经脐单孔腹腔镜下卵巢囊肿剥除术卵巢囊肿

Three port laparoscopeTransumbilical single-port laparoscopic ovarian cystectomyOvarian cyst

《中外医学研究》 2026 (12)

41-43,47,4

10.14033/j.cnki.cfmr.2026.12.011

评论