| Objective with the pursuit of beauty,under the premise of ensuring the treatment effect and safety,people gradually pay attention to the beauty effect after surgery.Although the traditional porous laparoscopic surgery has significant curative effect and high safety,it not only affects the recovery of the body,but also brings the problems of beauty.The advantages of single hole laparoscopic surgery are fully considered.Combined with the characteristics of the navel,it is considered that it not only has a good effect in the treatment of benign ovarian tumors,but also can meet the needs of people’s beauty and fertility.Therefore,this study focuses on the comparative analysis of single hole laparoscopic surgery and traditional multi empty laparoscopic surgery,to explore the role of single hole laparoscopic surgery in the treatment of benign ovarian tumors.Methods from January 2017 to October 2019,230 patients with benign ovarian tumors were enrolled as the study subjects,including 112 patients who underwent single hole laparoscopic surgery through the umbilicus as the study group and 118 patients who underwent traditional porous laparoscopic surgery as the reference group.The operation time,intraoperative bleeding volume,postoperative exhaust time,out of bed activity time,hospitalization time,ovarian function related indexes(E2),luteinizing hormone(LH),follicle stimulating hormone(FSH),anti Mullerian hormone(AMH)level,pain score at different time points of 6h,12 h and 24 h after operation,postoperative beauty satisfaction score and The incidence of complications.Results(1)the operation time of the study group(63.34 ± 5.47)min was significantly higher than that of the reference group(60.33 ± 5.48)min(P <0.05).The amount of bleeding,the time of abandoning,the time of getting out of bed and the time of hospitalization in the study group were(30.34 ± 2.25)ml,(12.57 ± 1.25)h,(18.34 ± 3.37)h,(2.78 ± 1.05)d,respectively,which were significantly lower than those in the reference group(35.71 ± 3.41)ml,(17.45 ± 2.03)h,(25.25 ± 3.4)h,(4.41 ± 2.07)d(P <0.05);(2)The pain scores of the study group at 6h,12 h and 24 h were(6.08 ± 1.14),(4.38 ±0.74),(1.76 ± 0.58)respectively.The pain scores of the reference group at 6h,12 h and 24 h were(7.41 ± 1.15),(5.42 ± 1.01)and(3.25 ± 0.74)respectively.The difference was significant(P <0.05).The pain score of each time point in the study group was significantly lower than that in the reference group(P <0.05);(3)After operation,the level of E2 in the study group(312.55 ± 40.39)pmol / l was slightly higher than that in the reference group(310.67 ± 40.41),but the difference was not statistically significant(P > 0.05);after operation,the level of E2 in the two groups was significantly lower than that before operation(329.55 ± 42.36)pmol / L,(328.230 ± 42.34)pmol / L(P <0.05).(4)The level of FSH in the study group(14.58 ± 3.41)μ / l was slightly lower than that in the reference group(15.11 ± 2.25)μ / L,but the difference was not statistically significant(P > 0.05);the level of FSH in the two groups after operation was significantly higher than that before operation(11.85 ± 3.78)μ / L,(11.84 ± 3.76)μ / L(P <0.05).(5)After operation,the level of LH in the study group(9.61 ± 1.33)μ / l was slightly lower than that in the reference group(9.78 ± 2.25)μ / L,but the difference was not significant(P > 0.05);after operation,the level of LH in the two groups was significantly higher than that before operation(7.43 ± 1.82)μ / L,(7.44 ± 1.03)μ / L(P <0.05).(6)The level of AMH in the study group(3.28 ± 1.02)ng / l was slightly lower than that in the reference group(3.50 ± 0.97)ng / L,but the difference was not significant(P >0.05);the level of AMH in the two groups after operation was significantly lower than that before operation(4.41 ± 0.88)ng / L and(4.60 ± 1.12)ng / L(P <0.05).(7)The level of ihnb in the study group(22.41 ± 4.02)ng / l was slightly higher than that in the reference group(20.35 ± 3.97)ng / L,the difference was significant(P <0.05);the level of ihnb in the two groups after operation was significantly lower than that before operation(25.49 ± 5.23)ng / L and(25.65 ± 5.12)ng / L,the difference was significant(P<0.05).(8)The score of postoperative beauty satisfaction in the study group(4.17 ± 0.42)was significantly higher than that in the reference group(3.37 ± 0.53),the difference was significant(P <0.05).(9)The incidence of complications in the study group was 5.36%,slightly higher than that in the reference group(1.69%),but the difference was not statistically significant(P >0.05).Conclusion In the treatment of benign ovarian tumor,single hole laparoscopic surgery through the navel has the advantages of quick recovery,better overall effect,better cosmetic effect,better postoperative pain,and less impact on the ovarian function of patients.However,the operation time has increased,which may be related to thecomplexity of the operation. |
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