Application of pneumoperitoneum-free single-hole endoscopy com-bined with ropivacaine in pregnancy with ovarian tumor
10.12092/j.issn.1009-2501.2024.05.011
- VernacularTitle:经脐无气腹单孔腔镜联合罗哌卡因局部浸润麻醉在妊娠合并卵巢肿瘤中的应用
- Author:
Chengcheng ZHU
1
,
2
;
Yonghong LUO
;
Jin DING
;
Huixian CHENG
;
Guantai NI
Author Information
1. 安徽医科大学,合肥 230032,安徽
2. 皖南医学院第一附属医院妇产科,芜湖 241000,安徽
- Keywords:
single-hole laparoscopy;
pneumoperi-toneum-free;
ropivacaine;
pregnancy;
ovarian tu-mor
- From:
Chinese Journal of Clinical Pharmacology and Therapeutics
2024;29(5):561-568
- CountryChina
- Language:Chinese
-
Abstract:
AIM:To evaluate the clinical efficacy and safety of pneumoperitoneum-free single-hole endoscopy combined with ropivacaine local infiltra-tion anesthesia in pregnancy with ovarian tumor.METHODS:Twenty-eight pregnant women with ovarian tumor were randomly divided into two groups:observation group(n=16)and control group(n=12).The first time out of bed,ventilation time,postoperative hospital stay,non-invasive blood pressure,heart rate(HR),respiratory fre-quency(RR)and blood oxygen saturation(SpO2)were compared between the two groups.Pain score,Ramsay sedation score,SAS anxiety score,postoperative complications,patient satisfaction and recovery quality scale QoR15 were evaluated at 6,24 and 48 hours after operation.RESULTS:There was no significant difference in postopera-tive hospital stay,Ramsay score,RR,SpO2 and the incidence of complications between the two groups(P>0.05),but the time of getting out of bed and ventilation time were shortened,the scores of non-invasive blood pressure,HR,pain and anxiety in the observation group were lower than those in the control group,and the scores of patient satisfac-tion and QoR15 in the observation group were bet-ter than those in the control group(P<0.05).CON-CLUSION:The application of pneumoperitoneum-free single-hole endoscope combined with ropiva-caine local infiltration anesthesia in pregnancy with ovarian tumor can reach satisfactory clinical re-sults,including reducing postoperative pain and anxiety,which is worth popularizing.
