摘要
目的分析使用腹腔镜手术治疗良性卵巢肿瘤的临床效果。方法在该医院2016年1月—2019年1月急诊的良性卵巢肿瘤患者中,方便抽取50例常规开腹手术患者和50例腹腔镜手术患者,共100例,进行回顾性分析,分别设为参照组与观察组,对比两组的手术时间、术中出血量、肛门排气时间和住院时间,术后血清生殖激素水平和免疫功能情况,并观察两组患者的并发症发生率。结果①观察组的手术时间、术中出血量、住院时间和肛门排气时间均短于参照组,两组差异有统计学意义(t=10.826、9.466、19.527、7.134,P<0.05)。②对比两组患者的血清生殖激素水平,观察组的LH、FSH参数指标(14.01±1.29)U/L、(17.02±1.51)U/L均高于参照组(10.17±1.69)U/L、(12.68±1.10)U/L,而E2(60.95±2.61)mmol/L则低于参照组(69.04±3.29)mmol/L,两组差异有统计学意义(t=12.771、16.427、13.621,P<0.05)。③比较两组治疗后患者各项免疫功能指标,观察组的CD3^+、CD4^+和CD4^+/CD8^+指标均高于参照组,而CD8^+指标则均低于参照组,两组差异有统计学意义(t=12.949、14.411、7.068、9.141,P<0.05)。④比较患者术后并发症率,两组分别为10.0%和44.0%,两组有效率分别为90.0%和56.0%,观察组均优于参照组,差异有统计学意义(χ^2=7.68,P<0.05)。结论使用腹腔镜手术治疗良性卵巢肿瘤,可有效降低对患者的伤害和血清生殖激素,增强其免疫功能,降低术后并发症,利于加强对卵巢功能的保护效果,临床应用效果显著。
Objective To analyze the clinical effect of laparoscopic surgery for benign ovarian tumors.Methods A total of 100 patients with benign ovarian tumors were convenient selected in the hospital from January 2016 to January 2019.A total of 100 patients were 50 patients with conventional open surgery and 50 patients undergoing laparoscopic surgery.The reference group and the observation group were compared for the operation time,intraoperative blood loss,anal exhaust time and hospitalization time,postoperative serum reproductive hormone levels and immune function,and the complication rate of the two groups was observed.Results 1.The operation time,intraoperative blood loss,hospital stay and anal exhaust time of the observation group were shorter than the reference group.The difference between the two groups was statistically significant(t=10.826,9.466,19.527,7.134,P<0.05).2.Comparing the serum reproductive hormone levels of the two groups,the LH and FSH of the observation group were higher than the reference group(10.17±1.69)U/L,(12.68±1.10)U/L,while E2(60.95±2.61)mmol/L was lower than the reference group(69.04±3.29)mmol/L,and the difference between the two groups was statistically significant(t=12.771,16.427,13.621,P<0.05).3.Comparing the immune function indexes of the two groups after treatment,the CD3^+,CD4^+and CD4^+/CD8^+of the observation group were higher than the reference group,while the CD8^+indicators were lower than the reference group,the difference between the two groups was statistically significant(t=12.949,14.411,7.068,9.141,P<0.05).4.Comparing the postoperative complication rate of the patients,the two groups were 10.0%and 44.0%,the effective rate of the two groups were 90.0%and 56.0%,the observation group was better than the reference group,the difference was statistically significant(χ^2=7.68,P<0.05).Conclusion The use of laparoscopic surgery for benign ovarian tumors can effectively reduce the damage to patients and serum reproductive hormones,enhance their immune function,reduce postoperative complications,and strengthen the protective effect on ovarian function.The clinical application effect is remarkable.
作者
陈美娜
CHEN Mei-na(Department of Gynecology,General Hospital of Lexian,Jiangle,Fujian Province,353300 China)
出处
《中外医疗》
2019年第35期67-69,共3页
China & Foreign Medical Treatment
关键词
腹腔镜手术
良性
卵巢肿瘤
Laparoscopic surgery
Benign
Ovarian tumor
