腹腔镜手术治疗对妊娠合并卵巢囊肿的疗效研究

Study on the Efficacy of Laparoscopic Surgery on Pregnancy Combined With Ovarian Cyst

目的研究对妊娠合并卵巢囊肿的诊治临床效果分析。方法选取2017年8月—2019年7月在本院治疗的94例妊娠合并卵巢囊肿患者作为研究对象,依据奇偶数分组法将其分为两组,即观察组和对照组,各47例。对照组采取开腹手术治疗,观察组采取腹腔镜术治疗,比较两组手术指标、并发症情况、剖宫产、早产率以及术前术后的黄体生成激素(LH)、卵泡生成激素(FSH)、雌二醇(E2)水平。结果观察组术程历时、排气时间、下床时间、住院时间、术中出血量均短于和低于对照组(P<0.05);观察组并发症发生率为4.26%低于对照组的17.02%(P<0.05);观察组剖宫产率、流产率分别为0.00%、27.66%,均低于对照组的8.51%、51.06%(P<0.05);术前,两组LH、FSH、E2水平相比,差异无统计学意义(P>0.05);术后LH、FSH、E2水平均较术前有所升高,观察组的高于对照组(P<0.05)。结论在妊娠合并卵巢囊肿的治疗中,采用腹腔镜术治疗,可减轻对机体的损伤,改善妊娠结局,促进患者恢复。

Objective To analyze the clinical effect of diagnosis and treatment of pregnancy complicated with ovarian cyst.Methods 94 cases of pregnant women with ovarian cysts who were treated in our hospital from August 2017 to July 2019 were selected as study subjects.According to the odd even number grouping method,they were divided into two groups,namely the observation group and the control group,47 cases each.The control group was treated with laparotomy,while the observation group was treated with laparoscopy.The operation indexes,complications,cesarean section,preterm birth rate,and the levels of luteinizing hormone(LH),follicle-forming hormone(FSH),and estradiol(E2)before and after operation were compared between the two groups.Results The duration of operation,exhaust time,out of bed time,hospital stay time and intraoperative blood loss in the observation group were shorter than and lower than those in the control group(P<0.05).The complication rate in the observation group was 4.26%lower than that in the control group(17.02%),P<0.05.The cesarean section rate and abortion rate in the observation group were 0.00%and 27.66%,respectively,lower than those in the control group(8.51%and 51.06%,P<0.05).Before surgery,the levels of LH,FSH and E2 in the two groups were compared,and P>0.05 was found.The levels of LH,FSH and E2 in the observation group were higher than those in the control group(P<0.05).Conclusion In the treatment of pregnancy with ovarian cyst,laparoscopic treatment can reduce the damage to the body,improve the outcome of pregnancy,promote the recovery of patients.