摘要
目的探讨分析腹腔镜卵巢囊肿剥除术治疗卵巢囊肿的临床效果。方法方便选择2015年5月—2017年5月近2年在该院就诊的卵巢囊肿患者108例,依据随机数字法将其分成腹腔镜组与对照组,每组54例。对照组给予传统开腹卵巢囊肿剥除术进行治疗,腹腔镜组给予腹腔镜卵巢囊肿剥除术。比较出血量、手术时长等术中情况,术后肛门开始排气时间、治疗费、妊娠率及住院时长,术后第3及第6个月时经期延长、月经周期改变、排卵异常及经量减少例数,复发概率及并发症发生概率。结果腹腔镜组出血量、手术时长分别为(76.75±8.27)m L、(62.68±5.15)min低于对照组的(119.63±9.22)m L、(75.42±6.10)min,且差异达到显著性水平(P<0.05);腹腔镜组术后肛门开始排气时间、妊娠率及住院时长分别为(1.29±0.31)d、38例(73.07%)、(4.78±1.62)d优于对照组的(2.60±1.21)d、21例(40.38%)、(7.11±1.15)d,且差异有统计学意义(P<0.05),而腹腔镜组治疗费为(5 117.21±109.09)元显著高于对照组的(4 038.15±107.61)元(P<0.05);2组术后第3及第6个月时经期延长、月经周期改变、排卵异常及经量减少例数分别为5例、4例及5例、6例,差异无统计学意义(P>0.05);腹腔镜组复发概率及并发症发生概率均为1(1.92%)低于对照组的4例(7.69%),且差异有统计学意义(P<0.05)。结论腹腔镜卵巢囊肿剥除术治疗卵巢囊肿你明显减少术中出血量、手术时长,有效降低患者痛苦程度,降低术后肛门开始排气时间、妊娠率及住院时长,缩短患者恢复时间,降低卵巢囊肿复发概率及并发症发生概率临床疗效显著,值得应用于临床治疗。
Objective This paper tries to investigate the clinical effect of the laparoscopic ovarian cyst enucleation on ovarian cysts.Methods 108 cases with ovarian cysts from May 2015 to May 2017 in this hospital in the recent two years were convenient selected,according to the law of random numbers,they were divided into the laparoscopic group and the control group,with 54 patients in each group.The control group received conventional ovarian cyst laparotomy cystectomy for treatment,the laparoscopic group adopted laparoscopic ovarian cyst removal surgery.The blood loss,duration of surgery,intraoperative conditions,anus exhaust time after surgery,treatment cost,pregnancy rates and hospitalization time,cases of period of the third and sixth month after the surgery prolonged,changing the menstrual cycle,ovulation abnormalities,and reducing amount,probability of recurrence and complication probabilities were analyzed.Results In the laparoscopic group,the bleeding volume,operation time was（76.75±8.27）mL,（62.68±5.15）min,lower than that of the control group of（119.63±9.22）mL,（75.42±6.10）min,and the difference reached significant level（P〈0.05）; in the laparoscopic group,postoperative anal exhaust time,pregnancy rate and hospitalization length was（1.29±0.31）d,38 cases（73.07%）,（4.78±1.62）d,better than the control group of（2.60 ±1.21）d,21 cases（40.38%）,（7.11±1.15）d,and the difference reached significant level（P〈 0.05）,and in the laparoscopic group,the treatment fee was（5 117.21 ±109.09）yuan,significantly higher than that of the control group of（4 038.15 ±107.61）yuan（P〈0.05）; cases in both groups for the third and sixth months of menstruation,menstrual cycle,abnormal ovulation and reducing amount was 5 and 4,5 and 6,and the difference did not reach the significant level（P〉0.05）; in the laparoscopic group,concurrent recurrence probability and the incidence of the disease was 1 case（1.92%）,which was lower than that of the control group of 4 cases（7.69%）,and the difference reached a significant level（P〈0.05）.Conclusion Laparoscopic ovarian cystectomy treatment significantly reduce the intraoperative blood loss,length of surgery of ovarian cyst,effectively reduce the pain of patients,reduce the postoperative anal exhaust time,start pregnancy rate and hospitalization time,shorten the time of recovery,reduce the recurrence probability of ovarian cyst and complications probability,with significant clinical efficacy,so it is worthy of clinical application.
出处
《中外医疗》
2017年第28期63-65,共3页
China & Foreign Medical Treatment
