探讨腹腔镜手术治疗妊娠合并卵巢囊肿临床效果.docVIP

精品论文 参考文献 探讨腹腔镜手术治疗妊娠合并卵巢囊肿临床效果 刘延仙 　　黑龙江省嘉荫农场医院 153223 　　摘要：目的：研究分析腹腔镜手术治疗妊娠合并卵巢囊肿的临床效果。方法：此次研究的对象是选择2012年1月-2013年12月收治的妊娠合并卵巢囊肿患者80例，根据手术方案分为观察组（42例）和对照组（38例），对照组患者采用传统开腹手术治疗，观察组采用腹腔镜下卵巢囊肿剥除术。观察比较两组患者的手术时间、术中出血量、术后排气时间、术后住院时间及术后宫缩人数等相关情况。结果：全部患者均安全切除囊肿，术中未出现母体并发症，术后无感染，切口愈合良好。术后患者正常，均足月分娩。两组患者手术情况比较显示，与对照组比较，观察组手术时间、术后排气时间以及术后住院时间均明显缩短，术中出血量较少，术后宫缩发生率较低，差异均具有显著性（Plt;0.05）。结论：腹腔镜手术治疗妊娠合并卵巢囊肿具有显著的临床效果，安全可行，对患者的创伤小、恢复快，值得临床推广。 　　关键词：妊娠合并卵巢囊肿；腹腔镜；临床分析 　　Abstract：Objective：To investigate the clinical effect of laparoscopic operation in the treatment of pregnancy with ovarian cyst.Methods：80 cases in January 2012 to December 2013 of pregnancy associated with ovarian cysts were selected and divided into observation group（42 cases）and control group（38 cases）according to operation scheme，the control group were treated by traditional open surgery in the treatment of，the observation group used laparoscopic ovarian cystectomy.The operation time，bleeding volume，postoperative exhaust time，hospitalization time and postoperative hospital stay of the two groups were observed and compared.Results：all the patients were safe removal of the cyst，there was no maternal complications，no infection，wound healing was good.After surgery，patients were normal，and were delivered at term.Two groups of patients with surgery，and control group，the observation group operation time，postoperative exhaust time and postoperative hospital stay were significantly shorter，less bleeding，the incidence rate of postoperative uterine lower compared with significant difference（P lt; 0.05）.Conclusion：laparoscopic surgery in the treatment of pregnancy with ovarian cyst has a significant clinical effect，safe and feasible，the patients with small trauma，quick recovery，worthy of clinical promotion. 　　Key words：pregnancy with ovarian cyst；Laparoscopy；clinical analysis 　　妊娠合并卵巢囊肿为临床常见的妇产科的疾病，会严重的影响妊娠及分娩，如过不进行有效的处理，严重者可以对母婴的生命造成威胁[1]。近年来，随着微创技术在在临床上的推广和应用，腹腔镜下治疗卵巢囊肿以其创伤小、患者恢复快的优点逐渐广泛的应用与临床的治疗中。本研究选择我院2012年1月至2013年12月收治