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经脐单孔腹腔镜镜下联合体外操作模式治疗卵巢良性肿瘤效果评价

邢庭玮 施如霞 缪妙 陈继明 唐斌 陈尧 夏百荣 单武林 杜雨 郑虹

中国实用妇科与产科杂志2024,Vol.40Issue(10):1047-1050,4.
中国实用妇科与产科杂志2024,Vol.40Issue(10):1047-1050,4.DOI:10.19538/j.fk2024100117

经脐单孔腹腔镜镜下联合体外操作模式治疗卵巢良性肿瘤效果评价

Treatment of benign ovarian tumors by transumbilical single-port laparoscopy combined with in vitro opera-tion mode

邢庭玮 1施如霞 1缪妙 1陈继明 1唐斌 1陈尧 2夏百荣 3单武林 3杜雨 1郑虹1

作者信息

  • 1. 南京医科大学附属常州第二人民医院妇科,江苏常州 213003
  • 2. 蚌埠医学院研究生院,安徽蚌埠 233030
  • 3. 中国科学技术大学第一附属医院妇科肿瘤科,中国科学技术大学生命科学与医学部,安徽 合肥 230031
  • 折叠

摘要

Abstract

Objective To explore the feasibility and clinical effect of transumbilical single-hole laparoscopy combined with in vitro operation mode in the treatment of benign ovarian tumors.Methods The clinical data of 81 patients with be-nign ovarian tumors treated by surgery in the Department of Gynecology of Changzhou No.2 People's Hospital,the Affili-ated Hospital of Nanjing Medical University from October 2019 to February 2023 were analyzed.According to the surgi-cal methods,the patients were divided into A single-hole laparoscopic combined with in vitro operation mode group(Group A,27 cases,referred to as the combined group),a pure single-hole laparoscopic operation group(group B,27 cases,referred to as the single-hole group)and a traditional porous laparoscopic operation group(group C,27 cases,re-ferred to as the porous group).All patients were diagnosed as benign ovarian tumors by postoperative pathology.The oper-ation time,intraoperative blood loss,postoperative ventilation time,postoperative time to return to normal activities,post-operative hospital stay,postoperative VAS score,postoperative surgical satisfaction and incision satisfaction of the three groups were statistically analyzed.Results In terms of intraoperative blood loss,postoperative ventilation time,postop-erative hospital stay,postoperative VAS score and postop-erative normal activity time,group A was significantly bet-ter than group B and C,the difference was statistically sig-nificant(P<0.05).In terms of operation time,group A was better than group B(P<0.05),but there was no sig-nificant difference between group C and group A(P>0.05).Postoperative ventilation time,postoperative hospi-tal stay,postoperative VAS score and postoperative normal activity time in group B were significantly better than those in group C,with statistical significance(P<0.05).Conclusion Transumbilical single-hole laparoscopy combined with in vitro mode for the treatment of benign ovarian tumors is feasible,the recovery time of patients is shorter,the postop-erative satisfaction is higher,the effect is significant,and it is worthy of promotion and use in the clinic for the appropriate population.

关键词

单孔腹腔镜手术/经脐/体外模式/卵巢良性肿瘤

Key words

laparoendoscopic single-site surgery/trans-umbilical/in vitro model/benign tumor of ovary

分类

医药卫生

引用本文复制引用

邢庭玮,施如霞,缪妙,陈继明,唐斌,陈尧,夏百荣,单武林,杜雨,郑虹..经脐单孔腹腔镜镜下联合体外操作模式治疗卵巢良性肿瘤效果评价[J].中国实用妇科与产科杂志,2024,40(10):1047-1050,4.

基金项目

常州市"十四五"卫生健康高层次人才培养工程(2022CZBJ074) (2022CZBJ074)

江苏省妇幼健康重点人才项目(RC202101) (RC202101)

江苏省妇幼健康科研项目(F202138) (F202138)

江苏省博士后科研资助计划(2019K064) (2019K064)

江苏省"333工程"科研资助项目(BRA2019161) (BRA2019161)

中国实用妇科与产科杂志

OA北大核心CSTPCD

1005-2216

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