经阴道单孔腹腔镜卵巢囊肿剔除术治疗良性卵巢肿瘤的临床研究

目的 探讨经阴道单孔腹腔镜卵巢囊肿剔除术治疗良性卵巢肿瘤的效果.方法 选择某院妇科2018年1月1日-2020年3月30日收治的良性卵巢肿瘤患者65例,根据手术方式不同分为2组,观察组35例接受经阴道单孔腹腔镜卵巢囊肿剔除术,对照组30例接受多孔腹腔镜卵巢囊肿剔除术.比较两组临床指标、美观满意度、雌激素水平、窦卵泡数目...

Clinical Study of Transvaginal Laparoscopic Ovarian Cyst Removal for Benign Ovarian Tumor

Objective To investigate the effect of transvaginal laparoscopic ovarian cyst removal in the treatment of benign ovarian tumors.Methods 65 patients with benign ovarian tumor admitted to our hospital from January 1,2018 to March 30,2020 were divided into two groups according to the operation method.The observation group(35 cases)received laparoscopic ovarian cyst removal through vagina,and the control group(30 cases)received porous laparoscopic ovarian cyst removal.The clinical indexes,aesthetic satisfaction,estrogen level,number of antral follicles(AFC),peak systolic velocity(PSV),pulsatility index(PI),resistance index(RI)were compared between the two groups.Results There was no significant difference between the two groups in operation time,intraoperative bleeding volume,postoperative exhaust time and postoperative hospital stay(P>0.05),there was no significant difference in the decrease value of Hb in 24 hours after operation and the highest body temperature(P>0.05).The VAS score of the observation group were lower than those of the control group(P<0.01),and the difference was statistically significant.The BIS score of the observation group was lower than that of the control group(P<0.05,P<0.01),and the CS score was higher than that of the control group(P<0.01),and the difference was statistically significant There was no significant difference in estradiol(E2),luteinizing hormone(LH),follicle stimulating hormone(FSH),AFC,PSV,PI,RI between the two groups(P>0.05).Conclusion Transvaginal laparoscopic ovarian cyst removal can reduce the trauma and pain,protect the ovarian function and cellular immune function,and improve the aesthetic satisfaction.It is the best choice for the treatment of ovarian benign tumor.