摘要
目的:对比腹腔镜下卵巢复位剥除囊肿保留卵巢与切除卵巢治疗卵巢囊肿蒂扭转的效果。方法:选取贵航贵阳医院2018年10月—2023年12月收治的70例卵巢囊肿蒂扭转患者,随机分为对照组和观察组,每组35例。两组均实施腹腔镜手术,对照组行切除卵巢治疗,观察组行卵巢复位剥除囊肿保留卵巢治疗。比较两组治疗效果、手术安全性、手术及术后恢复情况、卵巢功能。结果:两组总有效率比较,无统计学差异(P>0.05);观察组术后并发症总发生率低于对照组(P=0.046);观察组手术时间、自主呼吸恢复时间短于对照组,术中出血量少于对照组(P<0.001);术前及术后3个月,两组窦状卵泡数目、卵巢动脉收缩期时峰值血流速度比较,无统计学差异(P>0.05)。结论:腹腔镜切除卵巢与卵巢复位剥除囊肿保留卵巢的治疗效果相当,但卵巢复位剥除囊肿保留卵巢术治疗对患者造成的创伤更小,手术安全性更高,可促进患者术后更快恢复。
Objective:To compare the effect of laparoscopic ovarian reduction,removal of ovarian cyst to preserve the ovary,retention of ovary and removal of ovary in the treatment of torsion of ovarian cyst pedicle.Methods:A total of seventy patients with torsion of ovarian cyst pedicle in Guihang Guiyang Hospital from October 2018 to December 2023 were selected and randomly divided into control group and observation group,with thirty-five cases in each group.Both groups underwent laparoscopic surgery,the control group underwent removal of ovary,and the observation group underwent ovarian reduction and removal of ovarian cyst to preserve the ovary.The therapeutic effect,operation safety,operation and postoperative recovery and ovarian function were compared between the two groups.Results:There was no significant difference in total effective rate between the two groups(P>0.05).The incidence of postoperative complications in the observation group was lower than that in the control group(P=0.046).The operation time and recovery time of spontaneous respiration in the observation group were shorter than those in the control group,and the amount of intraoperative blood loss was less than that in the control group(P<0.001).There were no significant differences in the number of sinus follicles and the peak blood flow velocity of ovarian artery during systole between the two groups before and 3 months after operation(P>0.05).Conclusion:The therapeutic effect of laparoscopic removal of ovary is similar to that of ovarian reduction,removal of cyst and retention of ovary,but the treatment of ovarian reduction,removal of cyst and retention of ovary causes less trauma to patients,has higher surgical safety,and can promote faster postoperative recovery of patients.
作者
沈锡芬
Shen Xifen(Guihang Guiyang Hospital,Guiyang 550000,Guizhou Province,China)
出处
《中外医药研究》
2025年第3期60-62,共3页
JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
关键词
卵巢囊肿蒂扭转
腹腔镜
卵巢切除
保留卵巢
卵巢功能
Torsion of ovarian cyst pedicle
Laparoscopy
Removal of ovary
Preserve the ovary
Ovarian function
