腹腔镜卵巢囊肿剥除术治疗卵巢囊肿的临床效果

肖惠超; 陈继明

doi:10.7619/jcmp.202011032

腹腔镜卵巢囊肿剥除术治疗卵巢囊肿的临床效果

肖惠超,
陈继明^,

南京医科大学附属常州第二人民医院妇产科, 江苏常州, 213000

详细信息

通讯作者:
陈继明,E-mail:cjming@126.com

中图分类号: R737.31
计量
- 文章访问数: 665
- HTML全文浏览量: 264
- PDF下载量: 24
出版历程
- 收稿日期: 2020-04-20
- 网络出版日期: 2020-08-27

Effect of laparoscopic oophorocystectomy in treating ovarian cyst

XIAO Huichao,
CHEN Jiming^,

Department of Obstetrics and Gynecology, Changzhou Second People's Hospital Affiliated to Nanjing Medical University, Changzhou, Jiangsu, 213000

摘要

摘要: 目的分析腹腔镜卵巢囊肿剥除术治疗卵巢囊肿的临床效果。方法选取接受治疗的100例卵巢囊肿患者为研究对象,并随机分为2组。观察组50例患者行腹腔镜卵巢囊肿剥除术,对照组50例患者行开腹卵巢囊肿剥除术。比较2组患者手术基本情况、3个月后性激素水平、囊肿清除率与安全性,并分析腹腔镜卵巢囊肿剥除术治疗卵巢囊肿的临床效果。结果观察组出血量少于对照组,视觉模拟评分法(VAS)评分、术后3个月雌二醇(E₂)水平低于对照组,住院时间显著短于对照组(P<0.05)。观察组卵巢囊肿清除率显著高于对照组,并发症发生率显著低于对照组(P<0.05)。结论与传统开腹手术相比,腹腔镜卵巢囊肿剥除术具有较好的治疗效果,能减少术中出血量,加快康复进程,提高囊肿清除率,降低手术并发症发生率,并具有较高的治疗安全性。
- 腹腔镜 /
- 卵巢囊肿剥除术 /
- 开腹手术 /
- 临床效果 /
- 并发症
Abstract: Objective To investigate the clinical effect of laparoscopic oophorocystectomy in treating ovarian cyst. Methods A total of 100 patients with ovarian cyst receiving treatment were selected as research subjects, and were randomly divided into two groups. The observation group(n=50)was treated by laparoscopic oophorocystectomy, and the control group(n=50)was treated by open surgery for ovarian cyst excision. The basic conditions of operation, sex hormone level at 3 months after surgery, cyst clearance rate and safety were compared in two groups, and the clinical effect of laparoscopic oophorocystectomy was analyzed. Results The blood loss was less in the observation group, Visual Analogue Scale(VAS)score and estradiol(E₂)level at 3 months after surgery were lower, and hospitalization time was shorter than those in the control group(P<0.05). The ovarian cyst clearance rate in the observation group was significantly higher, and the incidence of complications was significantly lower than that in the control group(P<0.05). Conclusion Compared with traditional open surgery, laparoscopic oophorocystectomy can achieve better therapeutic effect, reduce the amount of intraoperative bleeding and speed up postoperative rehabilitation. Besides, it can also improve the rate of cyst clearance, reduce the incidence of surgical complications, and improve the safety of treatment.
- laparoscope /
- oophorocystectomy /
- open surgery /
- clinical effect /
- complications

HTML全文

参考文献(16)

杨超. 腹腔镜卵巢囊肿剥除术对患者免疫功能的影响研究[J]. 中国妇幼保健, 2017, 32(4): 714-716.

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.

贺桂芝. 腹腔镜下卵巢囊肿剥除术治疗卵巢囊肿患儿的效果及其对卵巢功能的影响[J]. 护理实践与研究, 2019, 16(17): 132-134.

徐海燕, 戚琤红. 卵巢囊肿患者30例应用腹腔镜下卵巢囊肿剥除术治疗的临床效果观察[J]. 检验医学与临床, 2017, 14(z2): 207-209.

王琦. 腹腔镜下卵巢囊肿剥除术的疗效观察及安全性分析[J]. 现代中西医结合杂志, 2014, 23(11): 1176-1178.

张巧利, 吴瑞芳. 英国生育协会“医源性原因女性生育力保存策略与实践指南(2018版)”解读[J]. 中华生殖与避孕杂志, 2020, 40(4): 344-351.

黄雯, 朱瑾. 良性卵巢肿瘤术后对卵巢储备功能的影响[J]. 生殖与避孕, 2012, 32(11): 771-776.

曾维, 鲍利军. 电凝止血与镜下缝合止血在腹腔镜下卵巢囊肿剥除术患者中的效果比较[J]. 实用临床医药杂志, 2019, 23(5): 90-92.

郑芳, 肖新益. 腹腔镜下卵巢囊肿剥除术治疗卵巢囊肿患者的临床效果[J]. 航空航天医学杂志, 2017, 28(6): 713-715.

卢烨. 不同卵巢子宫内膜异位囊肿剥除术对卵巢功能的影响[J]. 中国药物与临床, 2016, 16(4): 571-574.

王丹丹, 杨清. 腹腔镜卵巢子宫内膜异位囊肿两种剥除方法对卵巢储备功能的影响[J]. 中国医科大学学报, 2013, 42(6): 561-563.

何婕, 高京海, 吴玉仙, 等. 单孔腹腔镜卵巢囊肿剥除术疗效及术后镇痛药物使用分析[J]. 中国肿瘤临床与康复, 2019, 26(6): 680-682.

薛聪玲, 何社红. 开腹卵巢囊肿剥除术与气腹式腹腔镜卵巢囊肿剥除术对良性卵巢囊肿患者卵巢功能的影响比较[J]. 新乡医学院学报, 2019, 36(4): 350-352

, 356.

van de Vrie R, Rutten M J, Asseler J D, et al. Laparoscopy for diagnosing resectability of disease in women with advanced ovarian cancer[J]. Cochrane Database Syst Rev, 2019, 3: CD009786-CD009791.

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.

王馥旭, 丁雪梅, 董春红, 等. 腹腔镜下卵巢囊肿剥除术对卵巢功能远期影响的临床研究[J]. 实用癌症杂志, 2017, 32(8): 1367-1369.

施引文献(3)

期刊类型引用(2)

1.	段红伟，李晓静，杨兴菊，王飞，杨逢永. 基于合成少数类过采样技术算法构建脓毒症合并急性呼吸窘迫综合征的预警模型. 中华危重病急救医学. 2024(04): 358-363 . 百度学术
2.	刘兰，王昱. 去甲肾上腺素联合多巴胺治疗脓毒性休克患者的临床疗效及对肾功能的影响. 临床合理用药. 2023(21): 78-81 . 百度学术