探讨卵巢囊肿蒂扭转手术保留卵巢与切除卵巢临床对比观察.docVIP

精品论文 参考文献 探讨卵巢囊肿蒂扭转手术保留卵巢与切除卵巢临床对比观察 五常市小山子镇卫生院 150211 摘要： 目的 研究分析卵巢囊肿蒂扭转手术中保留卵巢的治疗效果及安全性。方法 此次研究的对象是选择2007年5月—2012年12月收治的31例手术治疗卵巢囊肿蒂扭转患者，16例行卵巢囊肿剥除术，15例行附件切除术，将其临床资料进行回顾性分析，对比分析两组患者的发病时间、手术时间，手术出血量、术后3 d内平均体温、平均住院日观察临床指标有无差异。结果 两组患者在发病时间、手术出血量有明显差异，而手术时间、术后3 d内平均体温、平均住院时间无明显差异。结论 通过对比分析发现，对于卵巢囊肿蒂扭转需保留生育及内分泌功能的患者来说，术中直接复位后行保留卵巢的卵巢囊肿剥除术，是安全、有效、可行的，其不增加手术时间、手术出血量及术后病率，不增加手术后血栓栓塞性疾病、卵巢再扭转等疾病的发生。 　　关键词： 卵巢囊肿；附件扭转；手术；治疗 [Abstract] Objective To study the effect and safety of ovarian preservation in the treatment of ovarian cyst torsion. Methods the study object is 2007 may，2012 to December 31 cases of surgical treatment of pedicle of ovarian cyst torsion in patients，16 cases had ovarian cystectomy，15 cases underwent adnexectomy，their clinical data were retrospective analysis，comparative analysis of two groups of patients at the onset time，duration of operation，amount of bleeding in operation，postoperative 3 days average temperature，average hospitalization days，observe clinical indicators have no significant difference. Results there was a significant difference between the two groups in the time of onset and the amount of bleeding，and there was no significant difference in the average temperature and average length of stay within 3 d after operation. Conclusion through the contrast analysis found that for ovarian cyst torsion to retain fertility and endocrine function in patients，and intraoperative direct reset rear retained the ovary cyst enucleation and is a safe，effective and feasible，it does not increase the operation time，hemorrhage volume and postoperative morbidity，does not increase the incidence of postoperative thromboembolic disease，ovarian and torsion of the disease. Ovarian cyst；accessory torsion；operation；treatment 卵巢囊肿蒂扭转是临床妇产科中常见的急腹症之一，据临床资料显示，卵巢囊肿蒂扭转的发生率占卵巢囊肿患者的10% [1]。卵巢囊肿蒂扭转多以突发性腹痛，持续性或阵发性发作为主，但发现时多合并附件的坏死、破裂、感染、栓塞等，严重者甚至危及患者的生命，故一经诊断，多需立即手术，以往多采取附件切除术，但目前，保留卵巢的手术逐渐被重视，保护患者的生殖及内分泌功能。为探讨卵巢囊肿蒂扭转手术中保留卵巢的治疗效果及安全性，该研究将该院2007年5月—2012年12月收治的31例