腹腔镜下卵巢囊肿剥除术的临床治疗效果
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摘要
目的探讨腹腔镜下卵巢囊肿剥除术治疗卵巢囊肿的临床疗效。方法收集该院2012年5月—2018年5月收治的60例卵巢囊肿患者,根据患者手术意愿分为35例腹腔镜手术和25例开腹手术。记录两种手术术中出血量、术后患者下床时间及住院时间,通过比较两组患者手术前后促卵泡素水平、窦性卵泡数量评价两组患者卵巢功能变化情况。同时,观察两组患者术后并发症的发生情况。结果腹腔镜组患者术中出血量(47.23±12.15)mL、下床时间(1.32±0.87)d、住院时间(5.02±1.14)d均显著低于开腹手术组,差异有统计学意义(t=6.104 8、5.893 7、4.231 7,P<0.05)。手术前,腹腔镜组患者促卵泡素水平(10.23±1.07)mU/mL、窦性卵泡数量(4.12±0.23)个与开腹组(9.78±0.89)mU/mL、(4.20±0.28)个比较差异无统计学意义(t=1.231 9、0.411 7,P>0.05);手术后,腹腔镜组促卵泡素水平(2.34±0.35)m U/mL、窦性卵泡数量(7.23±0.78)个较术前均有显著改善(t=5.822 1、4.339 0,P<0.05);开腹组促卵泡素水平(8.52±1.02)mU/mL、窦性卵泡数量(6.39±0.66)个较术前也有显著改善,差异有统计学意义(t=4.621 7、4.552 7,P<0.05);术后,腹腔镜组患者促卵泡素水平、窦性卵泡数量与开腹组比较差异有统计学意义(t=10.335 0、4.192 1,P<0.05)。腹腔镜组患者术后并发症发生率0.00%显著低于开腹组8.00%,差异有统计学意义(χ~2=12.494 7,P<0.05)。结论腹腔镜下卵巢囊肿剥除术的手术创伤小、安全性高,不但可以达到开腹手术的效果,且并发症少,值得推广。
Objective To investigate the clinical efficacy of laparoscopic ovarian cystectomy for ovarian cysts. Methods Sixty patients with ovarian cysts admitted to the hospital from May 2012 to May 2018 were enrolled. According to the patient's wishes, 35 patients underwent laparoscopic surgery and 25 patients underwent laparotomy. The amount of bleeding during the two operations, the time of bed-out and the length of hospital stay were recorded. The changes of ovarian function in the two groups were evaluated by comparing the follicle stimulating hormone levels and the number of sinus follicles before and after surgery. At the same time, the incidence of postoperative complications in the two groups was observed. Results The intraoperative blood loss(47.23±12.15)mL, bedtime(1.32±0.87) d, and hospital stay(5.02±1.14) d were significantly lower in the laparoscopic group than in the open surgery group. The difference was statistically significant(t=6.104 8、5.893 7、4.231 7, P<0.05). Before surgery, the follicle stimulating hormone level(10.23±1.07) m U/mL and the number of sinus follicles(4.12 ±0.23) in the laparoscopic group were not significantly different from those in the open group(9.78±0.89) mU/mL and(4.20±0.28), with significant differences(t=1.231 9、0.4117, P>0.05);after surgery, the follicle stimulating hormone level(2.34±0.35) mU/mL and the number of sinus follicles(7.23±0.78) were significantly improved compared with preoperative(t =5.822 1、4.339 0, P <0.05); follicle stimulating hormone level(8.52±1.02)mU/mL and sinus follicle number(6.39±0.66) in the open group were also significantly improved compared with preoperatively, and the difference was statistically significant(t =4.621 7、4.552 7, P <0.05); postoperatively, the levels of follicle stimulating hormone and sinus follicles in the laparoscopic group were significantly different from those in the open group(t=10.335 0、4.192 1, P<0.05). The incidence of postoperative complications was significantly lower in the laparoscopic group than in the open group(8.00%), and the difference was statistically significant(χ~2=12.494 7, P<0.05).Conclusion Laparoscopic ovarian cystectomy has small trauma and high safety. It can not only achieve the effect of open surgery, but also has fewer complications and is worthy of promotion.
Objective To investigate the clinical efficacy of laparoscopic ovarian cystectomy for ovarian cysts. Methods Sixty patients with ovarian cysts admitted to the hospital from May 2012 to May 2018 were enrolled. According to the patient's wishes, 35 patients underwent laparoscopic surgery and 25 patients underwent laparotomy. The amount of bleeding during the two operations, the time of bed-out and the length of hospital stay were recorded. The changes of ovarian function in the two groups were evaluated by comparing the follicle stimulating hormone levels and the number of sinus follicles before and after surgery. At the same time, the incidence of postoperative complications in the two groups was observed. Results The intraoperative blood loss(47.23±12.15)mL, bedtime(1.32±0.87) d, and hospital stay(5.02±1.14) d were significantly lower in the laparoscopic group than in the open surgery group. The difference was statistically significant(t=6.104 8、5.893 7、4.231 7, P<0.05). Before surgery, the follicle stimulating hormone level(10.23±1.07) m U/mL and the number of sinus follicles(4.12 ±0.23) in the laparoscopic group were not significantly different from those in the open group(9.78±0.89) mU/mL and(4.20±0.28), with significant differences(t=1.231 9、0.4117, P>0.05);after surgery, the follicle stimulating hormone level(2.34±0.35) mU/mL and the number of sinus follicles(7.23±0.78) were significantly improved compared with preoperative(t =5.822 1、4.339 0, P <0.05); follicle stimulating hormone level(8.52±1.02)mU/mL and sinus follicle number(6.39±0.66) in the open group were also significantly improved compared with preoperatively, and the difference was statistically significant(t =4.621 7、4.552 7, P <0.05); postoperatively, the levels of follicle stimulating hormone and sinus follicles in the laparoscopic group were significantly different from those in the open group(t=10.335 0、4.192 1, P<0.05). The incidence of postoperative complications was significantly lower in the laparoscopic group than in the open group(8.00%), and the difference was statistically significant(χ~2=12.494 7, P<0.05).Conclusion Laparoscopic ovarian cystectomy has small trauma and high safety. It can not only achieve the effect of open surgery, but also has fewer complications and is worthy of promotion.
引文
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[4]李翠芬,刘燕燕,韩临晓,等.腹腔镜下卵巢囊肿剔除术巧用双极电凝器的临床分析[J].广东医学,2016,37(z1):127-129.
[5]郭珊娜,段光友,王金韬,等.舒芬太尼配伍曲马多用于女性腹腔镜胆囊切除术和妇科腹腔镜手术术后自控静脉镇痛效果的比较[J].中华外科杂志,2015,53(2):150-154.
[6]王宁.围术期护理改善腹腔镜下卵巢囊肿剥除术患者手术效果及护理满意度分析[J].山西医药杂志,2018,47(2):235-237.
[7]姚永畅.腹腔镜与阴式卵巢囊肿剥除术对良性卵巢囊肿患者卵巢功能的影响[J].中国妇幼保健,2017,32(18):4585-4588.
[8]白海燕.经腹腔镜下卵巢囊肿剥除术与经腹卵巢囊肿剥除术对卵巢囊肿患者术后卵巢储备功能的影响[J].实用癌症杂志,2017,32(11):1879-1881.
[2]刘继红.妇科肿瘤诊疗指南[M].北京:人民军医出版社,2010.
[3]吴迪.腹腔镜与开腹卵巢囊肿剥除术临床应用对比观察[J].山东医药,2012,52(2):82-83.
[4]李翠芬,刘燕燕,韩临晓,等.腹腔镜下卵巢囊肿剔除术巧用双极电凝器的临床分析[J].广东医学,2016,37(z1):127-129.
[5]郭珊娜,段光友,王金韬,等.舒芬太尼配伍曲马多用于女性腹腔镜胆囊切除术和妇科腹腔镜手术术后自控静脉镇痛效果的比较[J].中华外科杂志,2015,53(2):150-154.
[6]王宁.围术期护理改善腹腔镜下卵巢囊肿剥除术患者手术效果及护理满意度分析[J].山西医药杂志,2018,47(2):235-237.
[7]姚永畅.腹腔镜与阴式卵巢囊肿剥除术对良性卵巢囊肿患者卵巢功能的影响[J].中国妇幼保健,2017,32(18):4585-4588.
[8]白海燕.经腹腔镜下卵巢囊肿剥除术与经腹卵巢囊肿剥除术对卵巢囊肿患者术后卵巢储备功能的影响[J].实用癌症杂志,2017,32(11):1879-1881.