摘要
目的研究腹腔镜下手术和经腹保守性手术治疗卵巢肿瘤蒂扭转的优劣差异。方法选取我院2014年9月~2016年10月间收治的卵巢肿瘤蒂扭转96例患者,采用随机数字法将其分为对照组和观察组,每组各48例。所有患者行手术治疗,对照组采取经腹保守措施,观察组采取腹腔镜措施,比较两组患者手术时间、术中出血量、首次肛门排气时间、住院时间差异;比较术后切口感染、出血、发热等并发症发生情况;所有患者随访1年,比较患者子宫缩小、卵巢血供异常、卵巢功能障碍等发生情况。结果观察组患者术中出血量、手术时间、首次肛门排气时间、住院时间显著优于对照组(P<0.05);两组患者的切口感染、出血、发热等并发症发生率比较,观察组显著优于对照组(P<0.05);术后1年随访结果比较,观察组子宫缩小、卵巢血供异常、卵巢功能障碍发生率显著优于对照组(P<0.05)。结论使用腹腔镜下手术治疗卵巢囊肿蒂扭转,疗效显著、术后并发症发生率低,远期疗效良好,应在临床广泛推广。
Objective To study the difference between laparoscopic surgery and conservative surgery in the treatment of ovarian tumor pedicle torsion. Methods 96 cases of ovarian tumor pedicle torsion in our hospital from September 2014 to October 2016 were selected.The random number method was divided into control group and observation group,48 cases in each group All the patients were treated with surgical treatment.The control group took abdominal conservative measures and the observation group took the measures of laparoscopy.The difference of operation time,intraoperative bleeding,first anal exhaust time and hospitalization time were compared between the two groups.The postoperative complications such as infection,bleeding and fever were compared.All patients were followed up for 1 years,compared with the cases of uterine contraction,abnormal ovarian blood supply and ovarian dysfunction. Results The amount of bleeding,operation time,first anal exhaust time and hospitalization time in the observation group were significantly better than those in the control group（P 〈0.05）.The incidence of wound infection,bleeding,fever and other complications in the two groups were compared.the observation group was significantly better than the control group（P 〈0.05）.Compared with the 1 year follow-up results,the uterine contraction,abnormal ovarian blood supply and the incidence of ovarian dysfunction in the observation group were significantly better than those in the control group （P 〈0.05）. Conclusion The treatment of ovarian cyst pedicle torsion by laparoscopy is significant,the incidence of postoperative complications is low,and the long-term effect is good.It should be widely popularized in clinical practice.
出处
《中国医药科学》
2017年第24期96-99,共4页
China Medicine And Pharmacy
关键词
腹腔镜
经腹保守性手术
卵巢肿瘤蒂扭转
疗效
Laparoscopy
Transabdominal conservative surgery
Pedicle torsion of ovarian tumor
Curative effect
