腹腔镜手术治疗妊娠期卵巢囊肿的临床效果

Clinical effect of laparoscopic surgery on ovarian cysts during pregnancy

目的分析腹腔镜妊娠期卵巢囊肿手术的效果及安全性。方法回顾性研究2017年1月~2018年12月在我院手术的82例妊娠期卵巢囊肿患者的资料,根据手术方式的不同将其分为腹腔镜组(n=67)和开腹组(n=15)。比较两组患者术中、术后各项指标及新生儿结局。结果腹腔镜组患者的术后病理类型中占比最高的是成熟性畸胎瘤。腹腔镜组的手术时间、术后通气时间、术后住院时间均短于开腹组,术中出血量少于开腹组,差异有统计学意义(P<0.05)。两组新生儿的体重、出生胎龄、Apgar评分比较,差异无统计学意义(P>0.05)。结论妊娠期卵巢囊肿采用腹腔镜手术,安全有效,且对比传统开腹手术,其更具有优势,在严格评估适应证情况下,可作为手术治疗妊娠期卵巢囊肿的首选术式。

Objective To analyze the effect and safety of laparoscopic surgery on ovarian cysts during pregnancy.Methods A retrospective study was performed on 82 patients with ovarian cysts during pregnancy who underwent surgery in our hospital from January 2017 to December 2018.Patients were divided into the laparoscopic group(n=67)and the open group(n=15)according to the different surgical methods.Intraoperative and postoperative indicators and neonatal outcomes were compared between the two groups.Results The highest proportion of postoperative pathological types in the laparoscopic group were mature teratomas.The operative time,postoperative ventilation time and postoperative hospitalization time of the laparoscopic group were shorter than those in the laparotomy group,and the intraoperative blood loss was less than that of the laparotomy group,with statistically significant differences(P<0.05).There were no significant differences between the two groups in weight,gestational age and Apgar score(P>0.05).Conclusion Laparoscopic surgery for ovarian cyst during pregnancy is safe and effective,and compared with traditional open surgery,it has more advantages.Under the condition of strict evaluation of indications,it can be the first choice for surgical treatment of ovarian cyst during pregnancy.