首页|腹腔镜卵巢囊肿剥除术治疗卵巢囊肿的效果

腹腔镜卵巢囊肿剥除术治疗卵巢囊肿的效果

扫码查看
目的 探讨卵巢囊肿(OC)患者采用腹腔镜卵巢囊肿剥除术(LOC)治疗的有效性及安全性。方法 选取 2020年5月至2023年4月在信阳市人民医院接受治疗的60例OC患者,以随机数字表法分为对照组(n=30)与研究组(n=30),对照组采用传统开腹手术治疗,研究组采用LOC治疗,对两组围手术期指标、卵巢储备功能[促卵泡激素(FSH)、抗苗勒管激素(AMH)、雌二醇(E2)]、超声检测指标[卵巢容积(OV)、窦状卵泡数(Fo)]、炎症因子水平[C反应蛋白(CRP)、白细胞计数(WBC)]、并发症发生率进行比较。结果 研究组手术、术后下床活动、疼痛缓解时间短于对照组,术中出血量少于对照组,差异有统计学意义(P<0。05);两组术后 6 个月AMH、FSH、E2 水平升高,且研究组高于对照组,差异有统计学意义(P<0。05);两组术前、术后 6 个月OV、Fo比较差异无统计学意义(P>0。05);两组术后 24 h CRP、WBC水平升高,但研究组CRP、WBC水平低于对照组,差异有统计学意义(P<0。05);研究组并发症发生率(6。67%)低于对照组(30。00%),差异有统计学意义(P<0。05)。结论 LOC应用于OC患者治疗能够改善围手术期指标,提高卵巢储备功能,对炎症因子的影响较小,降低并发症发生率。
The Effect of Laparoscopic Ovarian Cystectomy in the Treatment of Ovarian Cysts
Objective To explore the efficacy and safety of laparoscopic ovarian cystectomy(LOC)in the treatment of patients with ovarian cysts(OC).Methods Sixty patients with OC treated at Xinyang People's Hospital from May 2020 to April 2023 were selected and randomly divided into a control group(n=30)and a study group(n=30).The control group underwent traditional open surgery,while the study group underwent LOC.Perioperative indicators,ovarian reserve function[follicle-stimulating hormone(FSH),anti-Müllerian hormone(AMH),estradiol(E2)],ultrasound detection indicators[ovarian volume(OV),number of antral follicles(Fo)],levels of inflammatory factors[C-reactive protein(CRP),white blood cell count(WBC)],and incidence of complications were compared between the two groups.Results The study group had shorter surgery time,postoperative ambulation time,and pain relief time,and less intraoperative blood loss compared to the control group,with statistically significant differences(P<0.05).Six months postoperatively,the levels of AMH,FSH,and E2 in both groups increased,with the study group showing higher levels than the control group,with statistically significant differences(P<0.05).There were no statistically significant differences in OV and Fo between the two groups before and six months after surgery(P>0.05).Twenty-four hours postoperatively,the levels of CRP and WBC in both groups increased,but the levels in the study group were lower than those in the control group,with statistically significant differences(P<0.05).The incidence of complications in the study group(6.67%)was lower than that in the control group(30.00%),with statistically significant differences(P<0.05).Conclusion The application of LOC in the treatment of OC patients can improve perioperative indicators,enhance ovarian reserve function,have a smaller impact on inflammatory factors,and reduce the incidence of complications.

laparoscopic ovarian cystectomyovarian cystefficacysafety

李祖娜、梅金枝

展开 >

信阳市人民医院 妇科,河南 信阳 464100

腹腔镜卵巢囊肿剥除术 卵巢囊肿 有效性 安全性

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(10)