摘要
目的探讨经腹腔镜与经腹保守治疗对卵巢囊肿蒂扭转患者的治疗效果。方法收集在本院治疗的卵巢肿瘤蒂扭转患者49例,按照患者选择手术的方式行经腹保守治疗组(27例)和经腹腔镜保守治疗组(22例),观察2组患者术后情况,并在半年后检测对比卵巢功能。结果经腹治疗组患者手术时间为(69.38±12.73)min,经腹腔镜治疗组手术时间为(71.24±15.29)min,2组比较差异无统计学意义(P>0.05);经腹治疗组患者术中出血为(161.24±21.48)m L,经腹腔镜治疗组术中出血为(74.29±16.98)ml,2组比较差异有统计学意义(P<0.05);术后并发症及术后6月卵巢功能恢复情况2组比较差异无统计学意义(P>0.05)。结论对于有生育要求的卵巢肿瘤蒂扭转患者,行腹腔镜下保守治疗方法可行。
Objective To discuss the clinical effects of laparoscopic and abdominal operation conservative treatments of pedicle torsion of ovarian cyst. Methods A total of 49 patients with pedicle torsion of ovarian cyst were divided into an abdominal operation conservative treatment group（27 cases） and a laparoscopic conservative treatment group（22cases）, and the postoperative situations were observed and the ovarian functions were compared 6 months later. Results The operation time in the abdominal operation conservative treatment group was（69.38 ±12.73） min, and it was（71.24±15.29） min in the laparoscopic conservative treatment group（P〉0.05）; the volume of bleeding in the former was（161.24±21.48） ml, and it was（74.29±16.98） ml in the latter（P〈0.05）. There were no significant differences between the two groups in the postoperative complications and restoration of ovarian function（both P〉0.05）. Conclusion The laparoscopic conservative treatment method is feasible in patients with pedicle torsion of ovarian cyst who have fertility requirements.
出处
《中国校医》
2016年第1期63-64,共2页
Chinese Journal of School Doctor
