摘要目的:探讨无入路平台经脐单切口腹腔镜卵巢囊肿剥除术(TU-SILS)治疗卵巢囊肿的应用效果。方法:抽取2017年8月至2019年8月于忻州市人民医院治疗的91例卵巢囊肿患者，采用抽签法分为对照组( n＝45)与观察组( n＝46)。对照组行多孔腹腔镜卵巢囊肿剥除术(MPLS)治疗，观察组行TU-SILS治疗。比较两组手术相关指标、术后疼痛情况、切口满意度及并发症发生率。 结果:观察组手术用时、术中失血量、总住院时间均少于对照组，差异有统计学意义( P<0.05)。术后，两组视觉模拟评分法(VAS)评分均低于术前，且观察组低于对照组，差异有统计学意义( P<0.05)。术后，观察组切口总满意率为95.65%(44/46)，高于对照组的80.00%(36/45)，差异有统计学意义( P<0.05)。观察组并发症发生率为2.17%(1/46)，低于对照组的8.89%(4/45)，但差异未见统计学意义( P>0.05)。 结论:卵巢囊肿患者采用TU-SILS治疗效果显著，可减轻手术创伤，降低术后疼痛程度，提升患者切口满意度，且安全性高。

abstractsObjective:To investigate the application effects of transumbilical single-incision laparoscopic ovarian cystectomy without single port (TU-SILS) on ovarian cyst.Methods:A total of 91 patients with ovarian cysts who were treated in Xinzhou People’s Hospital from August 2017 to August 2019 were selected and divided into control group ( n= 45) and observation group ( n=46) by drawing lots. The control group was treated by multi-port laparoscopic surgery (MPLS), and the observation group was treated by TU-SILS. The surgical related indicators, postoperative pain, incision satisfaction and incidence of complications were compared between the two groups. Results:The operation time, and total hospital stay of the observation group were shorter than those of the control group, and the blood loss of the observation group was lower than that of the control group, the difference was statistically significant ( P<0.05). The postoperative visual analogue scale (VAS) scores of both groups were lower than preoperative scores, and the observation group had lower VAS score than the control group, and the difference was statistically significant ( P<0.05). After surgery, the total satisfaction rate of the incision in the observation group was 95.65% (44/46), which was higher than the 80.00% (36/45) in the control group, and the difference was statistically significant ( P<0.05). The incidence of complications of the observation group was 2.17% (1/46), slightly lower than the 8.89% (4/45) in the control group, however, the difference was not significant ( P>0.05). Conclusions:TU-SILS has a significant effect in the treatment of ovarian cysts, which can reduce surgical trauma, alleviate postoperative pain, improve patients’ satisfaction with incision, with high safety.