超声引导下卵巢囊肿穿刺术与腹腔镜卵巢囊肿剥除术治疗卵巢囊肿的疗效比较

Comparison of the efficacy of ultrasound-guided ovarian cyst puncture and laparoscopic ovarian cystectomy for ovarian cysts

目的比较超声引导下卵巢囊肿穿刺术与腹腔镜卵巢囊肿剥除术治疗卵巢囊肿的疗效。方法选取2016年1月至2018年10月我院卵巢囊肿患者50例,随机数字表法分为观察组和对照组,各25例。对照组行腹腔镜卵巢囊肿剥除术治疗,观察组行超声引导下卵巢囊肿穿刺术治疗。比较2组手术相关指标及卵泡数、卵巢体积。结果观察组手术用时、住院用时、术中出血量、术后排气用时均低于对照组,差异具有统计学意义(P<0.05);手术后,2组卵泡数以及卵巢体积低于手术前,而观察组高于对照组,差异有统计学意义(P<0.05)。结论超声引导下卵巢囊肿穿刺术治疗卵巢囊肿的效果优于腹腔镜卵巢囊肿剥除术治疗,且对卵巢的影响较小,利于改善患者预后。

Objective To compare the efficacy of ultrasound-guided ovarian cyst puncture and laparoscopic ovarian cyst removal in the treatment of ovarian cysts. Methods Fifty patients with ovarian cysts in our hospital from January 2016 to October 2018 were selected and randomly divided into observation group and control group with 25 cases each. The control group underwent laparoscopic ovarian cyst ablation and the observation group underwent ultrasound guided ovarian cyst puncture. The surgical-related indicators, the number of follicles, and the ovarian volume were compared between the two groups. Results The observation group had lower operating time, hospitalization time,intraoperative blood loss, and postoperative exhaust time than the control group, and the differences were statistically significant(P<0.05). After surgery, the number of follicles and ovarian volume in the two groups were lower than before the operation. However, the observation group was higher than the control group, and the difference was statistically significant(P<0.05). Conclusion Ultrasound-guided ovarian cyst puncture for ovarian cysts is better than laparoscopic ovarian cystectomy and has less effect on the ovaries, which is beneficial to improve the prognosis of patients.