单孔腹腔镜卵巢囊肿剥除术疗效及术后镇痛药物使用分析
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摘要
目的探讨单孔腹腔镜卵巢囊肿剥除术临床效果及术后镇痛药物使用情况。方法选取2017年6月至2018年6月间上海市长征医院收治的74例行腹腔镜卵巢囊肿剥除术的卵巢囊肿患者,依据电脑随机分配方法分为试验组和对照组,每组37例。试验组患者采用单孔腹腔镜剔除术,对照组患者采用多孔腹腔镜剔除术,比较两组患者手术情况、术后和用药后视觉模拟疼痛(VAS)评分及并发症发生率。结果试验组住院时间短于对照组,术中出血量少于对照组,差异均有统计学意义(均P <0. 05)。试验组患者术后第1d的VAS评分低于对照组;用药后1h和2h,两组患者VAS评分均低于术后第1d,且试验组均低于对照组,差异均有统计学意义(均P <0. 05)。试验组患者术后并发症发生率为5. 4%,低于对照组的24. 3%,差异有统计学意义(P <0. 05)。用药后,试验组未出现并发症,对照组并发症发生率为2. 7%。结论采用单孔腹腔镜卵巢囊肿剥除术治疗卵巢囊肿有较好的临床效果,术后应用布洛芬有较高的应用价值。
Objective To compare the clinical efficacy of single-port laparoscopic ovarian cystectomy and the use of postoperative analgesics. Methods Seventy-four patients with ovarian cysts who underwent laparoscopic ovarian cystectomy at Shanghai Changzheng Hospital from June 2017 to June 2018 were enrolled in the study. The patients were randomly divided into an experimental group and a control group according to the results of random computer assignment with 37 patients in each group. The experimental group was treated with single-port laparoscopy and the control group was treated with multi-port laparoscopy. The operation,pain after the surgery and after use of agency as well as the incidence of complications. Results The length of hospitalization and intraoperative blood loss in the experimental group were significantly less than in the control group( all P < 0. 05). The visual analogue scale( VAS) score at 1 d after the surgery was significantly lower in the experimental group than in the control group( P < 0. 05). The VAS scores were lower in both groups at 1 h and 2 h after use of agent at 1 d after the surgery with the scores lower in the experimental group than in the control group( all P < 0. 05). The incidence of postoperative complications was 5. 4% in the experimental group and 24. 3% in the control group( P < 0. 05). There was no complication in the experimental group after the use of agent,and the incidence of complication was 2. 7% in the control group. Conclusion Single-port laparoscopic ovarian cystectomy has a good clinical efficacy.Postoperative application of ibuprofen has a high value,worthy of application.
Objective To compare the clinical efficacy of single-port laparoscopic ovarian cystectomy and the use of postoperative analgesics. Methods Seventy-four patients with ovarian cysts who underwent laparoscopic ovarian cystectomy at Shanghai Changzheng Hospital from June 2017 to June 2018 were enrolled in the study. The patients were randomly divided into an experimental group and a control group according to the results of random computer assignment with 37 patients in each group. The experimental group was treated with single-port laparoscopy and the control group was treated with multi-port laparoscopy. The operation,pain after the surgery and after use of agency as well as the incidence of complications. Results The length of hospitalization and intraoperative blood loss in the experimental group were significantly less than in the control group( all P < 0. 05). The visual analogue scale( VAS) score at 1 d after the surgery was significantly lower in the experimental group than in the control group( P < 0. 05). The VAS scores were lower in both groups at 1 h and 2 h after use of agent at 1 d after the surgery with the scores lower in the experimental group than in the control group( all P < 0. 05). The incidence of postoperative complications was 5. 4% in the experimental group and 24. 3% in the control group( P < 0. 05). There was no complication in the experimental group after the use of agent,and the incidence of complication was 2. 7% in the control group. Conclusion Single-port laparoscopic ovarian cystectomy has a good clinical efficacy.Postoperative application of ibuprofen has a high value,worthy of application.
引文
[1]吴淑芳,代霁虹.微创单孔腹腔镜治疗卵巢囊肿患者手术入路方案研究[J].中国内镜杂志,2016,22:61-64.
[2]Baradwan S,Sendy F,Sendy S.Complete laparoscopic extirpation of a giant ovarian cyst in an adolescent[J].Case Rep Obstet Gynecol,2017,2017:7632989.
[3]徐海燕,戚琤红.卵巢囊肿患者30例应用腹腔镜下卵巢囊肿剥除术治疗的临床效果观察[J].检验医学与临床,2017,14:207-209.
[4]杨智红,陈光元.腹腔镜下卵巢囊肿剥除术前后AMH和b FSH水平的变化及其临床意义[J].海南医学,2016,27:3678-3680.
[5]许梅.腹腔镜下卵巢囊肿剥除术治疗卵巢囊肿的疗效分析[J].中国医疗器械信息,2016,22:94-95.
[6]温媛,薛娟丽,何玉萍.阴式与腹腔镜卵巢囊肿剥除治疗良性卵巢肿瘤的效果[J].世界最新医学信息文摘,2015,1:31-32.
[7]陈芬,邓林花,戴军.腹腔镜手术与开腹卵巢囊肿剥除术的临床疗效对比研究[J].吉林医学,2016,37:1124-1125.
[8]戴妮,程丽.单孔和多孔腹腔镜卵巢囊肿剥除术对卵巢储备功能的影响[J].中国妇幼健康研究,2016,27:126.
[9]刘秀,温蒙科,刘海元,等.单孔腹腔镜与多孔腹腔镜卵巢囊肿剔除术的临床对照研究[J].中华妇产科杂志,2017,52:146.
[10]小辉,张霞婧,冯燕,等.羟考酮与舒芬太尼用于腹腔镜卵巢囊肿剥除术的镇痛效果比较[J].陕西医学杂志,2017,46:458-459.
[11]邹家平,温冬梅,徐敏杰.帕瑞昔布钠联合舒芬太尼在妇科腹腔镜手术术后镇痛中的应用[J].临床医学工程,2017,24:695-696.
[12]于筱卿,赵瑾,王国庆.腹腔镜卵巢囊肿剥除术对卵巢功能的影响[J].中国肿瘤临床与康复,2016,23:672-674.
[13]Ye G,Qin Y,Xu S,et al.Comparison of transumbilical singleport laparoscopic cholecystectomy and fourth-port laparoscopic cholecystectomy.[J].Int J Clin Exp Med,2015,8:7746-7753.
[2]Baradwan S,Sendy F,Sendy S.Complete laparoscopic extirpation of a giant ovarian cyst in an adolescent[J].Case Rep Obstet Gynecol,2017,2017:7632989.
[3]徐海燕,戚琤红.卵巢囊肿患者30例应用腹腔镜下卵巢囊肿剥除术治疗的临床效果观察[J].检验医学与临床,2017,14:207-209.
[4]杨智红,陈光元.腹腔镜下卵巢囊肿剥除术前后AMH和b FSH水平的变化及其临床意义[J].海南医学,2016,27:3678-3680.
[5]许梅.腹腔镜下卵巢囊肿剥除术治疗卵巢囊肿的疗效分析[J].中国医疗器械信息,2016,22:94-95.
[6]温媛,薛娟丽,何玉萍.阴式与腹腔镜卵巢囊肿剥除治疗良性卵巢肿瘤的效果[J].世界最新医学信息文摘,2015,1:31-32.
[7]陈芬,邓林花,戴军.腹腔镜手术与开腹卵巢囊肿剥除术的临床疗效对比研究[J].吉林医学,2016,37:1124-1125.
[8]戴妮,程丽.单孔和多孔腹腔镜卵巢囊肿剥除术对卵巢储备功能的影响[J].中国妇幼健康研究,2016,27:126.
[9]刘秀,温蒙科,刘海元,等.单孔腹腔镜与多孔腹腔镜卵巢囊肿剔除术的临床对照研究[J].中华妇产科杂志,2017,52:146.
[10]小辉,张霞婧,冯燕,等.羟考酮与舒芬太尼用于腹腔镜卵巢囊肿剥除术的镇痛效果比较[J].陕西医学杂志,2017,46:458-459.
[11]邹家平,温冬梅,徐敏杰.帕瑞昔布钠联合舒芬太尼在妇科腹腔镜手术术后镇痛中的应用[J].临床医学工程,2017,24:695-696.
[12]于筱卿,赵瑾,王国庆.腹腔镜卵巢囊肿剥除术对卵巢功能的影响[J].中国肿瘤临床与康复,2016,23:672-674.
[13]Ye G,Qin Y,Xu S,et al.Comparison of transumbilical singleport laparoscopic cholecystectomy and fourth-port laparoscopic cholecystectomy.[J].Int J Clin Exp Med,2015,8:7746-7753.