腹腔镜保留卵巢手术治疗卵巢囊肿蒂扭转的可行性与安全性

Feasibility and safety of laparoscopic ovarian preservation surgery for torsion of ovarian cyst pedicle

目的探讨腹腔镜保留卵巢手术治疗卵巢囊肿蒂扭转的可行性与安全性。方法选取2013年01月01日~2018年12月31日河南省妇幼保健院手术治疗卵巢囊肿蒂扭转的87例患者作为研究对象,依据手术方式,分为两组,研究组:手术保留卵巢的患者46例,对照组:切除卵巢的患者41例,比较两组术后并发症发生率、再次妊娠率评价临床疗效。结果两组术后并发症发生率比较,差异无统计学意义(P>0.05);结论腹腔镜保留卵巢与切除卵巢治疗卵巢囊肿蒂扭转,疗效相当,腹腔镜保留卵巢治疗,可维持内分泌功能于稳定状态,有助于再次可在临床推广。

Objective To investigate the feasibility and safety of laparoscopic ovarian preservation surgery for ovarian cyst pedicle torsion.Methods 87 patients with ovarian cyst pedicle torsion who were operated on in Henan Maternal and Child Health Hospital from January 1,2013 to December 31,2018 were selected as the research objects.According to the operation methods,they were divided into two groups.The study group consisted of 46 patients with ovarian preservation and the control group consisted of 41 patients with ovariectomy.Results There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion Laparoscopic ovarian preservation and ovariectomy are effective in treating torsion of ovarian cyst pedicle.Laparoscopic ovarian preservation can maintain stable endocrine function and help to be popularized in clinic again.