经脐单孔腹腔镜卵巢囊肿剥除术治疗卵巢囊肿的临床效果OA
Clinical Effect of Transumbilical Laparoendoscopic Single-Site Ovarian Cystectomy in the Treatment of Ovarian Cysts
目的 探讨经脐单孔腹腔镜卵巢囊肿剥除术(TU-LESS)治疗卵巢囊肿的疗效.方法 回顾性选取 2021 年 1月至 2023 年 12 月濮阳油田总医院收治的卵巢囊肿患者 100 例,根据不同手术方案分为观察组和对照组,每组 50 例.对照组采用多孔腹腔镜卵巢囊肿剥除术治疗,观察组采用 TU-LESS 治疗.比较两组囊肿复发率、卵泡刺激素(FSH)、黄体生成素(LH)、雌二醇(E2)、抗米勒管激素(AMH)水平及视觉模拟评分法(VAS)评分、术后并发症发生情况.结果 观察组囊肿复发率低于对照组;术后并发症发生率低于对照组,差异均有统计学意义(P＜0.05).术后 6 个月,两组 AMH、E2 水平均较术前 1 d 降低,且观察组高于对照组,差异均有统计学意义(P＜0.05);两组 LH、FSH 水平均较术前 1 d 升高,且观察组低于对照组,差异均有统计学意义(P＜0.05).术后 6 h、12 h、24 h、48 h、72 h,观察组 VAS 评分均低于同期对照组,差异均有统计学意义(P＜0.05).结论 与多孔腹腔镜卵巢囊肿剥除术相比,TU-LESS 治疗绝经前卵巢囊肿在减轻术后早期疼痛、降低短期并发症发生率、改善术后 6 个月卵巢储备功能相关指标及降低术后 6 个月囊肿复发率方面具有一定优势.
Objective To investigate the efficacy of transumbilical laparoendoscopic single-site ovarian cystectomy(TU-LESS)in the treatment of ovarian cysts.Methods A total of 100 patients with ovarian cysts admitted to Puyang Oilfield General Hospital from January 2021 to December 2023 were retrospectively selected.According to different surgical procedures,the patients were divided into an observation group and a control group,with 50 patients in each group.The control group underwent multi-port laparoscopic ovarian cystectomy,while the observation group underwent TU-LESS.The cyst recurrence rate,levels of follicle-stimulating hormone(FSH),luteinizing hormone(LH),estradiol(E2),and anti-Müllerian hormone(AMH),visual analog scale(VAS)scores,and postoperative complications were compared between the two groups.Results The cyst recurrence rate in the observation group was lower than that in the control group,and the incidence of postoperative complications was also lower than that in the control group;the differences were statistically significant(P＜0.05).At 6 months after surgery,AMH and E2 levels in both groups were lower than those at 1 day before surgery,and the levels in the observation group were higher than those in the control group;the differences were statistically significant(P＜0.05).LH and FSH levels in both groups were higher than those at 1 day before surgery,and the levels in the observation group were lower than those in the control group;the differences were statistically significant(P＜0.05).At 6,12,24,48,and 72 h after surgery,the VAS scores in the observation group were lower than those in the control group at the same time points,and the differences were statistically significant(P＜0.05).Conclusion Compared with multi-port laparoscopic ovarian cystectomy,TU-LESS has certain advantages in the treatment of premenopausal ovarian cysts,including reducing early postoperative pain,lowering the short-term incidence of complications,improving ovarian reserve-related indicators at 6 months after surgery,and reducing the cyst recurrence rate at 6 months after surgery.
鞠晨影;黄顶;王艳虹
濮阳油田总医院 妇科,河南 濮阳 457000濮阳油田总医院 疼痛科,河南 濮阳 457000濮阳油田总医院 妇科,河南 濮阳 457000
卵巢囊肿经脐单孔腹腔镜手术卵巢囊肿剥除术囊肿复发率卵巢储备功能术后并发症
ovarian cysttransumbilical laparoendoscopic single-site surgeryovarian cystectomycyst recurrence rateovarian reserve functionpostoperative complications
《临床研究》 2026 (6)
87-90,4
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