腹腔镜与开腹卵巢囊肿剥除术治疗卵巢囊肿患者疗效分析

Clinical analysis of laparoscopic and open ovarian cystectomy in the treatment of patients with ovarian cysts

目的探讨两种不同术式治疗卵巢囊肿患者的临床效果。方法 78例卵巢囊肿患者,按照随机数字表法分为研究组(40例)和对照组(38例)。对照组患者实施传统开腹手术,研究组患者实施腹腔镜下卵巢囊肿剥除术,比较两组患者手术相关指标及术前、术后卵巢储备功能及术后妊娠率。结果研究组患者术中出血量为(72.34±9.16)ml,明显少于对照组的(125.50±13.27)ml;手术时间、术后肛门排气时间分别为(59.28±5.37)min、(12.53±3.12)h,均明显短于对照组的(72.15±6.94)min、(19.07±4.10)h,差异具有统计学意义(P<0.05)。术前,两组促黄体生成素(LH)、雌二醇(E2)、促卵泡生成激素(FSH)比较,差异无统计学意义(P>0.05);两组术后1个月E2水平明显低于术前, FSH、LH水平明显高于术前,且对照组改变程度更为明显,差异有统计学意义(P<0.05);研究组术后3、6个月LH、E2、FSH恢复情况明显优于对照组,差异有统计学意义(P<0.05)。研究组患者术后妊娠率为85.00%,显著高于对照组的52.63%,差异有统计学意义(P<0.05)。结论对卵巢囊肿患者而言,腹腔镜下卵巢囊肿剥除术是一种理想的治疗方式,可有效减少术中出血量,缩短手术时间,促进肛门排气,同时保护术后卵巢储备功能,提高患者妊娠率,具备临床实施意义与应用价值。

Objective To discuss the clinical effect of two different surgeries in the treatment of patients with ovarian cysts. Methods A total of 78 patients with ovarian cysts were divided by random number table method into research group (40 cases) and control group (38 cases). The control group received traditional open surgery, and the research group received laparoscopic ovarian cystectomy. Comparison were made surgery related indicators, preoperative and postoperative ovarian reserve function and postoperative pregnancy rate between the two groups. Results The research group had obviously less intraoperative bleeding volume as (72.34±9.16) ml than (125.50±13.27) ml in the control group, and obviously shorter operation time and postoperative anal exhaust time respectively as (59.28±5.37) min and (12.53±3.12) h than (72.15±6.94) min and (19.07±4.10) h in the control group. Their difference was statistically significant (P<0.05). Before operation, both groups had no statistically significant difference in luteinizing hormone (LH), estradiol (E2), follicle stimulating hormone (FSH)(P>0.05). At postoperative 1 month, both groups had obviously lower E2 FSH and LH than those before operation, and control group changed more obviously. Their difference was statistically significant (P<0.05). At postoperative 3 and 6 months, the research group had obviously better recovery of LH, E2, FSH than the control group, and their difference was statistically significant (P<0.05). The research group had significantly postoperative pregnancy rate as 85.00% than 52.63% in the control group, and the difference was statistically significant (P<0.05). Conclusion For patients with ovarian cysts, laparoscopic ovarian cystectomy is an ideal treatment, and it can effectively reduce intraoperative bleeding, shorten the operation time, promote anal exhaust, protect ovarian reserve function and improve pregnancy rate. It has clinical significance and application value.