腹腔镜下卵巢囊肿剥除术效果观察及安全性评价.docVIP

腹腔镜下卵巢囊肿剥除术效果观察及安全性评价 　　[摘要]目的 探讨腹腔镜下卵巢囊肿剥除术的效果及安全性。方法 抽取2006年6月～2013年6月在我院就诊的60例卵巢良性肿瘤患者，依照入院的次序分为实验组和常规组，每组各30例。常规组采取开腹手术，实验组采取腹腔镜手术，比较两组患者的手术治疗效果、卵巢功能、不良反应发生率。结果 实验组患者的手术耗时、肠功能恢复时间、住院时间短于常规组，出血量少于常规组，术后24 h最高体温低于常规组，差异均有统计学意义（P0.05）；术后实验组患者E2水平高于常规组，促黄体生成素（LH）、卵泡刺激素（FSH）低于常规组，窦状卵泡数少于常规组，差异有统计学意义（P0.05）；实验组患者的不良反应总发生率明显低于常规组，差异有统计学意义（P0.05）。结论 对卵巢良性囊肿患者采取腹腔镜卵巢囊肿剥除术的效果显著，利于术后患者身体的早日康复，值得临床推广。 　　[关键词]卵巢囊肿剥除术；腹腔镜；疗效；安全性 　　[中图分类号] R737.31 [文献标识码] A [文章编号] 1674-4721（2018）1（b）-0083-03 　　[Abstract]Objective To investigate the efficacy and safety of laparoscopic cystectomy for ovarian cysts.Methods A total of 60 patients with benign ovarian tumors treated in our hospital from June 2006 to June 2013 were enrolled.Acording to the order of admission，they were divided into routine group （n=30） and experimental group（n=30）.Laparotomy was used in the routine group，while laparoscopic surgery was adopted in the experimental group.The surgical therapeutic effect，ovarian function，incidence of adverse reaction were compared between the two groups.Results The operation time，recovery of intestinal function，and hospital stay in the experimental group were shorter than those in the routine group.The amount of bleeding was less compared with the routine group.The highest body temperature 24 hours after operation was lower than that of the routine group with a statistical difference（P0.05）.After surgery，the level of E2 was higher，LH and FSH levels were lower，the number of antral follicles was less compared with the routine group，which were displayed statistical differences （P0.05）.The incidence of adverse reaction in the experimental group was significantly lower in comparison of that in the routine group with statistical significance.Conclusion For patients with benign ovarian cysts，application of laparoscopic ovarian cystectomy can obtain a remarkable effect and is beneficial to the early recovery of the body，which is worthy of promotion and clinical practice. 　　[Key words]Ovarian