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经脐单孔腹腔镜卵巢囊肿剥除术的应用价值及对患者卵巢功能指标的影响
作者姓名:何红瑞  王玉红
作者单位:河南省鹤壁市浚县人民医院妇产科;新乡医学院第一附属医院妇产科
摘    要:目的 探究经脐单孔腹腔镜卵巢囊肿剥除术的应用价值及对患者卵巢功能指标的影响.方法 选取2018年10月至2020年10月我院收治的76例卵巢囊肿患者作为研究对象,按照随机数字表法将其分为观察组和对照组,每组38例.观察组给予经脐单孔腹腔镜卵巢囊肿剥除术,对照组给予传统三孔腹腔镜手术.比较两组患者的手术时间、术中出血量、...

关 键 词:经脐单孔腹腔镜  卵巢囊肿剥除术  卵巢囊肿  术中出血量  卵巢功能

Application value of transumbilical single-port laparoscopic ovarian cystectomy and its influence on ovarian function indexes of patients
Authors:HE Hongrui  WANG Yuhong
Institution:(Gynecology and Obstetrics Department,Xunxian People's Hospital,Hebi 456250;Gynecology and Obstetrics Department,the First Affiliated Hospital of Xinxiang Medical University,Xinxiang 453100,China)
Abstract:Objective To explore the application value of transumbilical single-port laparoscopic ovarian cystectomy and its influence on ovarian function indexes of patients.Methods A total of 76 patients with ovarian cyst treated in our hospital from October 2018 to October 2020 were selected as the research objects.The patients were divided into observation group and control group according to random number table method,with 38 cases in each group.The observation group was given transumbilical single-port laparoscopic ovarian cystectomy,and the control group was given traditional three-port laparoscopic surgery.The operation time,amount of intraoperative bleeding,postoperative exhaust time,hospital stay and degree of pain,ovarian function indexes before and 1 month after operation and occurrence of complications were compared between the two groups.Results There was no significant difference in operation time between the two groups(P>0.05);the amount of intraoperative bleeding in the observation group was less than that in the control group,the postoperative exhaust time and hospital stay were shorter than those in the control group,the VAS score was lower than that in the control group,and the differences were statistically significant(P<0.05).Before and 1 month after operation,there were no significant differences in the levels of E2,FSH and LH between the two groups(P>0.05);one month after operation,the level of E2 in the two groups was lower than that before operation,and the levels of FSH and LH were higher than those before operation,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was 5.26%,which was significantly lower than 21.05%in the control group,and the difference was statistically significant(P<0.05).Conclusion Transumbilical single-port laparoscopic ovarian cystectomy has the advantages of less trauma,rapid postoperative recovery,it can improved ovarian function indexes of patients,with fewer complications,which is worthy of promotion.
Keywords:transumbilical single-port laparoscopic  ovarian cystectomy  ovarian cyst  amount of intraoperative bleeding  ovarian function
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