首页|腹腔镜下卵巢囊肿剥除术治疗卵巢囊肿的效果及术后康复的影响因素分析

腹腔镜下卵巢囊肿剥除术治疗卵巢囊肿的效果及术后康复的影响因素分析

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目的:分析腹腔镜下卵巢囊肿剥除术治疗卵巢囊肿的效果及术后康复的影响因素.方法:选择我院自2019.1-2023.12收治的200例卵巢囊肿患者,分为对照组和观察组,各100例.对照组患者行开腹卵巢囊肿剥除术,观察组患者行腹腔镜下卵巢囊肿剥除术,检测相关指标;根据观察组患者住院时间分为康复正常组和康复延迟组,分析术后康复的影响因素.结果:对比对照组,观察组围术期指标改善明显(P<0.05);对比对照组,观察组术后6个月血清AMH、FSH和E2水平均更高(P<0.05);两组术后6个月OV、Fo比较无差异(P>0.05);年龄、切口超声理疗、下肢气压干预、术后早期下床活动均是卵巢囊肿患者腹腔镜下卵巢囊肿剥除术后康复的独立影响因素(P<0.05).结论:腹腔镜下卵巢囊肿剥除术治疗卵巢囊肿在术后康复上具有优势,对患者卵巢储备功能的影响更小,但术后康复受年龄、切口超声理疗、下肢气压干预和术后早期下床活动的影响.
Laparoscopic Ovarian Cyst Removal Surgery for the Treatment of Ovarian Cyst and the Analysis of the Influence Factors of Postoperative Rehabilitation
Objective:To analyze the effect of laparoscopic ovarian cystectomy for the treatment of ovarian cysts and the influenc-ing factors of postoperative rehabilitation.Methods:A total of 200 patients with ovarian cysts admitted in our hospital from 2019.1-2023.12 were divided into control group and observation group,with 100 cases each.The patients in the control group underwent open ovarian cyst stripping,and the observation group underwent laparoscopic ovarian cyst stripping to detect relevant indicators;accord-ing to the hospital time of the patients in the observation group,they were divided into normal rehabilitation group and delayed rehabilita-tion group,and the influencing factors of postoperative rehabilitation were analyzed.Results:Compared with the control group,the peri-operative index improved in the observation group(P<0.05);Compared with the control group,the observation group had higher serum AMH,FSH,and E2 levels at 6 months after surgery(P<0.05);There was no difference between OV and Fo between the two groups(P>0.05);Age,incision ultrasound therapy,lower extremity pressure intervention,and early postoperative ambulation were all independent influ-encing factors for postoperative rehabilitation after laparoscopic ovarian cyst removal in patients with ovarian cysts(P<0.05).Conclusion:Laparoscopic ovarian cyst removal has advantages in postoperative rehabilitation for ovarian cyst,and has little effect on the ovarian reserve function of patients,postoperative rehabilitation is affected by age,incision ultrasound therapy,lower extremity pressure interven-tion and early postoperative ambulation activity.

Ovarian cystLaparoscopic ovarian cyst removalOvarian reserve function

张雪、赵刚、贺婷婷、侯静茹、佟亚菲

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西安交通大学第二附属医院妇产科 陕西西安 716000

空军军医大学第二附属医院妇产科生殖医学中心 陕西西安 710000

卵巢囊肿 腹腔镜下卵巢囊肿剥除术 卵巢储备功能

2024

现代生物医学进展
黑龙江省森工总医院 哈尔滨医科大学附属第四医院

现代生物医学进展

CSTPCD
影响因子:0.755
ISSN:1673-6273
年,卷(期):2024.24(24)