锐扶刀治疗前庭大腺囊肿和前庭大腺脓肿的临床价值

Clinical Effects of Radio-Frequency Treatment on Bartholin Cyst and Abscess of Bartholin Glands

目的探讨锐扶刀治疗前庭大腺囊肿和前庭大腺脓肿的临床价值。方法选取2010年6月至2013年2月于广东省高要市人民医院妇科门诊就诊的169例前庭大腺囊肿及前庭大腺脓肿患者为研究对象,其年龄为20～45岁。按照入院顺序单双号的原则,将其分为研究组和对照组。单号纳入研究组(n=85),采用锐扶刀行前庭大腺囊肿造口或脓肿切开引流术,双号纳入对照组(n=84),行传统前庭大腺造口术或脓肿切开引流术。两组患者的年龄等一般临床病历资料比较,差异无统计学意义(P>0.05)(本研究遵循的程序符合广东省高要市人民医院伦理委员会制定的伦理学标准,得到该委员会批准,分组征得受试对象的知情同意,并与之签署临床研究知情同意书)。对两组患者的手术时间、术中出血量、术后恢复时间及复发率等情况进行统计学分析。结果研究组患者的平均手术时间显著较对照组短[(5.60±0.55)min vs.(17.50±0.56)min],且差异有统计学意义(t=1.99,P<0.05);研究组患者的平均术中出血量显著少于对照组[(5.64±0.30)mL vs.(23.11±0.26)mL],且差异有统计学意义(t=1.97,P<0.05);研究组患者的平均术后恢复时间显著短于对照组[(24.72±0.85)h vs.(75.59±0.67)h],且差异有统计学意义(t=1.99,P<0.05)。术后随访6个月结果显示,研究组中无一例患者复发,对照组中8例(9.52%)患者复发,两组比较,差异有统计学意义(χ2=5,21,P<0.05)。结论锐扶刀治疗前庭大腺囊肿和前庭大腺脓肿较传统手术方法更具可行性。

Objective To investigate clinical effects of radio-frequency treatment on Bartholin cyst and abscess of Bartholin glands.Methods A total of 1 6 9 cases with Bartholin cyst or abscess of Bartholin glands were obtained from Gaoyao People′s Hospital between June 2010 and February 2013.They were randomly divided into two groups according to the order of hospitalization,study group （n=85,odd number）patients underwent radio-frequency for Bartholin gland cyst or abscess incision drainage stoma;control group （n=84,even number）underwent traditional incision and drainage for the Bartholin gland abscess or colostomy.There were no significant differences between two groups on age and other clinical information （P〉0.05）.The duration of operation,intraoperative bleeding amount,postoperative recovery time and postoperative recurrence were analyzed.The study protocol was approved by the Ethical Review Board of Investigation of Gaoyao People′s Hospital.Informed consent was obtained from all participates. Results The average duration of operation in study group and control group were （5.60±0.55）min and （17.50±0.56）min,respectively,with significant difference （t=1.97,P〈0.05）.The bleeding amount during operation in study group and control group were （5.64±0.30）mL and （23.11±0.26）mL, respectively,with significant difference （t=1.97,P〈0.05）.The average recovery time in study group and control group were （24.72±0.85）h and （75.59±0.67）h,respectively,with significant difference （t=1.99,P〈0.05）.The six-month follow-up showed that no patient had relapse in study group and 8 cases （9.52%）relapsed in control group.There were significant difference between two group on the incidence rate of relapse during the six-month follow-up （χ2=5,21,P〈0.05）.Conclusions Radio-frequency in the treatment of Bartholin cyst and abscess of Bartholin glands is of more advantages than traditional operation methods.