经阴道后穹隆穿刺引流术治疗卵巢黄体破裂的临床疗效观察

Observation on clinical efficacy of transvaginal posterior fornix puncture drainage in treatment of ovarian corpus luteum rupture

目的探讨经阴道后穹隆穿刺引流术治疗卵巢黄体破裂的疗效。方法选取2017年1月至2018年9月该院诊治的有性生活的卵巢黄体破裂患者80例。采用随机数字表法随机分成两组:A组40例,接受经阴道后穹隆穿刺引流术治疗;B组40例,接受腹腔镜手术治疗。对比两组的手术时间、术中出血量、术后疼痛评分、住院天数、医疗费用、近期并发症发生情况。结果A组较B组手术时间、住院天数更短、术中出血量更少,术后伤口疼痛更轻,差异均有统计学意义(P<0.05)。A组医疗费用明显低于B组(P<0.05)。治疗后1个月随访:两组月经异常发生率均较高,A组低于B组,差异有统计学意义(P<0.05)。治疗后3个月随访:A组的异常子宫出血发生率、基础体温异常率低于B组,差异均有统计学意义(P<0.05)。结论与腹腔镜手术相比,经阴道后穹隆穿刺引流术治疗卵巢黄体破裂更为节约医疗费用,对卵巢功能的影响更小。

Objective To investigate the efficacy of transvaginal posterior fornix puncture drainage in the treatment of ovarian corpus luteum rupture.Methods Eighty patients with ovarian corpus luteum rupture and sexual life in this hospital from January 2017 to September 2018 were selected and divided into the two groups according to the random number table method.The group A(40 cases)received the transvaginal posterior fornix puncture drainage treatment,and the group B(40 cases)were treated with laparoscopic surgery.The operative time,intraoperative bleeding volume,post-operative pain score,length of stay,medical expenses and short-term complications occurrence were compared between the two groups.Results Compared with the group B,the group A had shorter operation time and length of stay,less intraoperative bleeding and less postoperative wound pain,and the differences were statistically significant(P<0.05).The medical expenses in the group A was significantly lower than that in the group B(P<0.05).In the follow up after 1-month treatment,the incidence rate of abnormal menstruation was higher in both groups,and the group A was lower than the group B with statistical difference(P<0.05).In the follow up after 3-month treatment,the incidence rate of abnormal uterine bleeding(AUB)and basic body temperature(BBT)in the group A were lower than those in the group B,and the differences were statistically significant(P<0.05).Conclusion Transvaginal posterior fornix puncture drainage in the treatment of ovarian corpus luteum rupture more saves the medical expenses and has little influence on the ovarian function compared with the laparoscopic surgery.