腹腔镜手术应用于妊娠合并卵巢肿瘤临床治疗中效果分析.docVIP

腹腔镜手术应用于妊娠合并卵巢肿瘤临床治疗中效果分析 　　DOI：10.16662/j.cnki.1674-0742.2016.32.020 　　[摘要] 目的 探讨妊娠合并卵巢肿瘤应用腹腔镜手术治疗的临床效果，为临床应用提供参考意见。方法 方便选取该院2012年1月―2016年1月所收治妊娠合并卵巢肿瘤患者70例，随机分为研究组和对照组。研究组35例，采用腹镜手术治疗；对照组35例，采用开腹手术进行治疗。记录两组患者临床情况（包括手术时间、术中出血量、排气时间以及住院时间），并比较两组患者妊娠结局。结果 研究组35例患者中，平均住院时间为（3.9±1.5）d、术中出血量（137.8±20.3）mL、排气时间为（17.5±6.3）h及手术时间为（63.1±11.7）min，显著低于对照组的（8.5±2.3）d、（195.5±38.9）mL、（47.1±15.5）h及（84.1±12.9）min，差异有统计学意义（P0.05）。结论 腹腔镜手术应用于妊娠合并卵巢肿瘤临床治疗中，临床表现更好，有利于保证母婴安全，值得临床推广应用。 　　[关键词] 腹腔镜手术；妊娠；卵巢肿瘤 　　[中?D分类号] R4 [文献标识码] A [文章编号] 1674-0742（2016）11（b）-0020-03 　　Observation of the Effect of Laparoscopic Operation in the Treatment of Pregnancy Complicated with Ovarian Tumor 　　LI Yu-hua 　　Department of Obstetrics and Gynecology， Jilin Central Hospital， Jilin University， Jilin， Jilin Province，132011 China 　　[Abstract] Objective To investigate the clinical effect of laparoscopic operation in the treatment of pregnancy complicated with ovarian tumor， and to provide reference for clinical application. Methods Convenient selection 70 cases of pregnancy with ovarian tumor in our hospital from January 2012 to January 2016 were randomly divided into study group and control group， cases were randomly divided into study group and control group. In the study group， 35 cases were treated by abdominal surgery and 35 cases in the control group were treated by open surgery. The clinical conditions （including operation time， blood loss， exhaust time and length of stay） were recorded in two groups， and the pregnancy outcomes were compared between the two groups. Results Study group 35 patients， the mean length of hospital stay（3.9±1.5）d， intraoperative hemorrhage volume （137.8±20.3） mL， exhaust time for （17.5±6.3） h and operation time for （63.1±11.7） min， significantly lower than the control group （8.5±2.3）d， （195.5±38.9） mL， （47.1±15.5） h and （84.1±12.9） min， the difference with statistical significance （P 0.05）. Conclusion The application of laparoscopic surgery in the clinical treatment