腹腔镜下卵巢囊肿剥除术临床疗效和安全性研究.docVIP

腹腔镜下卵巢囊肿剥除术临床疗效和安全性研究 　　[摘要] 目的 探讨腹腔镜下卵巢囊肿剥除术的临床疗效和安全性。方法 选取2011年10月～2013年1月72例采用手术治疗的卵巢囊肿患者为研究对象，将其随机分为对照组（开腹卵巢囊肿剥除术组）36例和观察组（腹腔镜卵巢囊肿剥除术组）36例，比较两组患者的出血量、肛门排气时间、妊娠率、妊娠时间、并发症发生率以及围术期的氧化应激状态。结果 观察组的出血量、肛门排气时间、妊娠率、妊娠时间、并发症发生率均优于对照组，围术期的氧化应激波动也小于对照组，差异均有统计学意义（P0.05）。结论 腹腔镜下卵巢囊肿剥除术的临床疗效和安全性均较高，对患者造成的手术性不良影响较小。 　　[关键词] 腹腔镜下卵巢囊肿剥除术；临床疗效；安全性 　　[中图分类号] R711 [文献标识码] B [文章编号] 1674-4721（2013）07（a）-0170-02 　　Study on the clinical effect and safety of laparoscopic ovarian cystectomy 　　LIU Wei-ying 　　Department of Gynaecology and Obstetrics，Peoples Hospital of Luxi County in Pingxiang City in Jiangxi Province，Luxi 337053，China 　　[Abstract] Objective To study the clinical effect and safety of laparoscopic ovarian cystectomy.Methods 72 operative patients with oophoritic cyst in our hospital from October 2011 to January 2013 were selected as research objects，and they were randomly divided into control group（open ovarian cystectomy group） with 36 cases and observation group（laparoscopic ovarian cystectomy group）with 36 cases，then the blood loss，evacuation time，pregnancy rate，time to pregnancy，incidence of complications and perioperative oxidative stress state of two groups were compared. Results The blood loss，evacuation time，pregnancy rate，time to pregnancy，incidence of complications of observation group were all better than those of control group，the fluctuation of perioperative oxidative stress was smaller than those of control group， the differences were all statistically significant（P0.05）. Conclusion The clinical effect and safety of laparoscopic ovarian cystectomy are both higher，and the bad operative influence for the patients is smaller. 　　[Key words] Laparoscopic ovarian cystectomy；Clinical effect；Safety 　　卵巢囊肿剥除术是治疗卵巢囊肿的有效方法，随着腹腔镜手术在本类疾病治疗中的应用，其效果日益受到肯定，但是对于其综合价值的应用研究仍相对不足，因此值得进一步研究探讨，尤其对于其手术性创伤方面的不良影响的研究价值较高[1]。本研究对腹腔镜下卵巢囊肿剥除术的临床疗效和安全性进行了观察分析。 　　1 资料与方法 　　1.1 一般资料 　　选取2011年10月～2013年1月72例采用手术治疗的卵巢囊肿患者为研究对象，将其随机分为对照组（开腹卵巢囊肿剥除术组）36例和观察组（腹腔镜卵巢囊肿剥除术组）36例。对照组患者中，年龄2