付文爱

    【摘要】 目的：研究经脐单孔腹腔镜(TU-LESS)下卵巢囊肿剥除术治疗卵巢囊肿对术后疼痛及卵巢储备功能的影响。方法：以2019年1月-2022年1月樟树市人民医院收治的80例卵巢囊肿患者为对象进行研究，根据系统化随机法将其分为单孔组(n=40)和三孔组(n=40)。单孔组予TU-LESS卵巢囊肿剥除术，三孔组予传统三孔腹腔镜卵巢囊肿剥除术。比较两组围手术期指标(术中出血量、术后排气时间、住院时间、术中卵巢囊肿破裂率)。使用视觉模拟评分法(VAS)评分比较两组术后1、3 d疼痛程度。记录围手术期并发症。比较术后1、3个月两组血清激素[促黄体生成素(LH)、雌二醇(E2)]变化。术后随访6个月，统计两组卵巢囊肿的复发情况。结果：单孔组术中出血量少于三孔组，术后排气时间、住院时间均短于三孔组，术后1、3 d VAS评分均低于三孔组(P0.05)。结论：相较于三孔腹腔镜手术，TU-LESS卵巢囊肿剥除术治疗卵巢囊肿具有术中创伤小、恢复快等优点，对减少患者术后疼痛感及控制手术对卵巢储备功能损伤有利。

    【关键词】 经脐单孔腹腔镜 卵巢囊肿剥除术 卵巢囊肿 术后疼痛 卵巢储备功能

    [Abstract] Objective： To study the effect of transumbilical laparoendoscopic single-site surgery (TU-LESS) ovarian cystectomy on postoperative pain and ovarian reserve function in the treatment of ovarian cysts. Method： A total of 80 patients with ovarian cysts who were admitted to Zhangshu People's Hospital from January 2019 to January 2022 were selected as object of study. The patients were divided into the single-port group (n=40) and the three-port group (n=40) according to the systematic random method. The single-port group was given TU-LESS ovarian cystectomy ......