腹腔镜手术治疗良性卵巢肿瘤的疗效观察

Observation on efficacy of laparoscopic surgery for the treatment of benign ovarian tumors

目的分析腹腔镜手术治疗良性卵巢肿瘤的临床效果。方法 125例良性卵巢肿瘤患者,按照治疗方式不同分为腹腔镜组(65例)和开腹组(60例)。腹腔镜组实施腹腔镜手术治疗,开腹组实施开腹手术治疗,比较两组手术时间、术中出血量、排气时间、住院时间、术后并发症发生情况、手术前后卵巢功能相关指标[卵泡刺激素(FSH)、黄体生成素(LH)、雌二醇(E2)]。结果两组患者手术时间比较差异无统计学意义(P>0.05);腹腔镜组术中出血量(31.68±12.31)ml少于开腹组的(60.38±18.65)ml,排气时间(1.34±0.55)d、住院时间(5.51±1.72)d均短于开腹组的(2.84±1.61)、(9.16±2.67)d,差异有统计学意义(P<0.05)。手术前,两组患者FSH、LH、E2水平比较,差异无统计学意义(P>0.05);手术后,两组患者FSH、LH、E2水平均优于手术前,且腹腔镜组FSH、LH、E2水平优于开腹组,差异有统计学意义(P<0.05)。腹腔镜组术后并发症发生率低于开腹组,差异有统计学意义(P<0.05)。结论对良性卵巢肿瘤患者采取腹腔镜手术治疗,不仅可提高治疗效果,同时能减少创伤,促进患者更早恢复,并改善患者的卵巢功能。

Objective To analyze the clinical effect of laparoscopic surgery for the treatment of benign ovarian tumors. Methods A total of 125 patients with benign ovarian tumors were divided by different treatment methods into laparoscopic group (65 cases) and laparotomy group (60 cases). Laparoscopic group received laparoscopic surgery, and laparotomy group received laparoscopic surgery. Comparison were made on operation time, intraoperative bleeding volume, exhaust time, hospitalization time, occurrence of complications, ovarian function related indicators [ follicle stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2)] before and after operation in two groups. Results Both groups had no statistically significant difference in operation time (P>0.05). Laparoscopic group had less intraoperative bleeding volume as (31.68 ± 12.31) ml than (60.38 ± 18.65) ml in laparotomy group, and shorter exhaust time as (1.34 ± 0.55) d and hospitalization time as (5.51 ± 1.72) d than (2.84 ± 1.61) and (9」6 ± 2.67) d in laparotomy group. Their difference was statistically significant (P<0.05). Before operation, both groups had no statistically significant difference in FSH, LH and E2 (P>0.05). After operation, both groups had better FSH, LH and E2 than those before operation, and laparoscopic group had better FSH, LH and E2 than laparotomy group. Their difference was statistically significant (P<0.05). Laparoscopic group had lower incidence of postoperative complications than laparotomy group, and the difference was statistically significant (P<0.05). Conclusion For patients with benign ovarian tumors, laparoscopic surgery can not only improve the treatment effect, but also reduce trauma, promote early recovery and improve ovarian function.