腹腔镜下卵巢肿瘤剥除术治疗卵巢囊肿的临床效果分析(1)
[摘要] 目的 对卵巢囊肿治疗中腹腔镜下卵巢囊肿剥除术的疗效进行探讨。 方法 2017年1—12月间方便选择该院收治卵巢囊肿患者60例，随机分为实验组(n=30)和常规组(n=30)。常规组接受传统开腹手术治疗，实验组接受腹腔镜手术治疗，观察两组疗效。 结果 实验组术中出血量(45.1±11.3)mL、手术时间(40.6±5.4)min、住院时间(3.9±1.3)d、术后肛门排气时间(1.4±0.2)d，均显著低于常规组(72.9±13.2)mL、(64.2±6.6)min、(5.7±1.4)d、(2.1±0.3)d，差异有统计学意义(t=5.061，P=0.000;t=6.560，P=0.000;t=5.086，P=0.000;t=5.356，P=0.000)。两组其他指标对比差异无统计学意义(P>0.05)。结论 针对卵巢囊肿患者开展腹腔镜下卵巢囊肿剥除术效果显著，其具有创伤小、对卵巢功能无影响等优势，术后患者能够更快恢复，安全性更高，具有较高推广价值。
[关键词] 卵巢囊肿;腹腔镜;卵巢囊肿剥除术
[中图分类号] R713.6 [文献标识码] A [文章编号] 1674-0742(2019)04(a)-0029-03
[Abstract] Objective To explore the efficacy of laparoscopic ovarian cyst ablation in the treatment of ovarian cysts. Methods 60 cases of patients admitted for ovarian cysts were convenient selected. All patients received treatment in our hospital from January to December 2017， and were randomly divided into experimental group (n=30) and conventional group (n=30). The conventional group received conventional open surgery， and the experimental group received laparoscopic surgery to observe the efficacy of the two groups. Results The intraoperative blood loss (45.1±11.3) mL， operation time (40.6±5.4) min， hospitalization time (3.9±1.3) d， postoperative anal exhaust time (1.4±0.2) d were significantly lower in the experimental group than in the conventional group. (72.9±13.2) mL， (64.2±6.6) min， (5.7±1.4) d， (2.1±0.3) d，the different was statistically significant(t=5.061， P=0.000; t=6.560， P=0.000; t=5.086， P= 0.000; t=5.356， P=0.000). There was no significant difference in the other groups between the two groups (P>0.05). Conclusion Laparoscopic ovarian cyst ablation is effective for patients with ovarian cysts， which has the advantages of less trauma and no effect on ovarian function. Patients can recover more quickly after surgery with higher safety and high promotion value.
[Key words]Ovarian cyst; Laparoscope; Removal of an ovarian cyst
卵巢囊腫为常见妇科疾病，患者卵巢实质会受到破坏，并因此出现卵巢瘢痕、累及卵巢皮质，最终发生不孕不育。临床中针对该疾病主要开展手术治疗，通过手术将卵巢囊肿剥除，同时最大限度保护卵巢功能。近年来腹腔镜技术开始广泛应用于临床，在卵巢囊肿剥除术中应用腹腔镜，能够更好掌握卵巢情况，在此基础上进行手术具有创伤小、安全性高的优势。为进一步提升临床卵巢囊肿治疗效果，该研究方便选择2017年1—12月收治卵巢囊肿患者60例，对其分别应用传统卵巢囊肿剥除术、腹腔镜下卵巢囊肿剥除术，现报道如下。
1 资料与方法
1.1 一般资料
方便选择该院收治卵巢囊肿患者60例，在该院接受治疗，随机分为实验组(n=30)和常规组(n=30)。常规组年龄范围29～59岁，平均(47.3±3.4)岁;囊肿直径4.4～10.9 cm，平均(7.3±1.4)cm;左侧囊肿14例、右侧囊肿16例;其中卵巢巧克力囊肿14例，单穿卵巢囊肿11例，畸胎瘤5例;未婚13例，已婚17例。实验组年龄范围30～59岁，平均(47.5±3.5)岁;囊肿直径4.5～10.8 cm，平均(7.4±1.2)cm;左侧囊肿13例、右侧囊肿17例;其中卵巢巧克力囊肿15例，单穿卵巢囊肿10例，畸胎瘤5例;未婚12例，已婚18例。两组一般临床资料对比差异无统计学意义(P>0.05)，具有可比性。该研究报请该院医学伦理委员会批准，患者知情并同意参与研究。, http://www.100md.com(秦山红)
[关键词] 卵巢囊肿;腹腔镜;卵巢囊肿剥除术
[中图分类号] R713.6 [文献标识码] A [文章编号] 1674-0742(2019)04(a)-0029-03
[Abstract] Objective To explore the efficacy of laparoscopic ovarian cyst ablation in the treatment of ovarian cysts. Methods 60 cases of patients admitted for ovarian cysts were convenient selected. All patients received treatment in our hospital from January to December 2017， and were randomly divided into experimental group (n=30) and conventional group (n=30). The conventional group received conventional open surgery， and the experimental group received laparoscopic surgery to observe the efficacy of the two groups. Results The intraoperative blood loss (45.1±11.3) mL， operation time (40.6±5.4) min， hospitalization time (3.9±1.3) d， postoperative anal exhaust time (1.4±0.2) d were significantly lower in the experimental group than in the conventional group. (72.9±13.2) mL， (64.2±6.6) min， (5.7±1.4) d， (2.1±0.3) d，the different was statistically significant(t=5.061， P=0.000; t=6.560， P=0.000; t=5.086， P= 0.000; t=5.356， P=0.000). There was no significant difference in the other groups between the two groups (P>0.05). Conclusion Laparoscopic ovarian cyst ablation is effective for patients with ovarian cysts， which has the advantages of less trauma and no effect on ovarian function. Patients can recover more quickly after surgery with higher safety and high promotion value.
[Key words]Ovarian cyst; Laparoscope; Removal of an ovarian cyst
卵巢囊腫为常见妇科疾病，患者卵巢实质会受到破坏，并因此出现卵巢瘢痕、累及卵巢皮质，最终发生不孕不育。临床中针对该疾病主要开展手术治疗，通过手术将卵巢囊肿剥除，同时最大限度保护卵巢功能。近年来腹腔镜技术开始广泛应用于临床，在卵巢囊肿剥除术中应用腹腔镜，能够更好掌握卵巢情况，在此基础上进行手术具有创伤小、安全性高的优势。为进一步提升临床卵巢囊肿治疗效果，该研究方便选择2017年1—12月收治卵巢囊肿患者60例，对其分别应用传统卵巢囊肿剥除术、腹腔镜下卵巢囊肿剥除术，现报道如下。
1 资料与方法
1.1 一般资料
方便选择该院收治卵巢囊肿患者60例，在该院接受治疗，随机分为实验组(n=30)和常规组(n=30)。常规组年龄范围29～59岁，平均(47.3±3.4)岁;囊肿直径4.4～10.9 cm，平均(7.3±1.4)cm;左侧囊肿14例、右侧囊肿16例;其中卵巢巧克力囊肿14例，单穿卵巢囊肿11例，畸胎瘤5例;未婚13例，已婚17例。实验组年龄范围30～59岁，平均(47.5±3.5)岁;囊肿直径4.5～10.8 cm，平均(7.4±1.2)cm;左侧囊肿13例、右侧囊肿17例;其中卵巢巧克力囊肿15例，单穿卵巢囊肿10例，畸胎瘤5例;未婚12例，已婚18例。两组一般临床资料对比差异无统计学意义(P>0.05)，具有可比性。该研究报请该院医学伦理委员会批准，患者知情并同意参与研究。, http://www.100md.com(秦山红)