腹腔镜下卵巢囊肿剔除术治疗卵巢囊肿的效果及安全性评价

Effect and safety evaluation of laparoscopic ovarian cyst excision in the treatment of ovarian cyst

目的探究腹腔镜下卵巢囊肿剔除术治疗卵巢囊肿的效果及安全性。方法82例卵巢囊肿患者,随机选择并编号1~82,抽签分为对照组和试验组,每组41例。对照组采用常规开腹卵巢剔除术治疗,试验组采用腹腔镜下卵巢剔除术治疗。比较两组患者术后疼痛评分、恢复情况(肛门首次排气时间、下床活动时间、住院时间)、并发症发生率、手术前后的卵巢功能。结果两组患者术后3 d疼痛评分均低于术后1 d,且实验组患者疼痛评分(1.67±0.97)分低于对照组的(2.63±1.02)分,差异均具有统计学意义(P<0.05)。试验组患者肛门首次排气时间(23.21±4.15)h、下床活动时间(19.34±2.45)h、住院时间(4.34±1.01)d均短于对照组的(32.34±3.84)h、(25.62±3.02)h、(6.14±1.22)d,差异均具有统计学意义(P<0.05)。试验组并发症发生率2.44%低于对照组的14.63%,差异具有统计学意义(P<0.05)。术后,两组患者血清卵泡刺激素(FSH)、促黄体生成素(LH)水平均高于术前,雌二醇(E_(2))水平均低于术前,且试验组FSH、LH水平高于对照组,E2水平低于对照组,差异均具有统计学意义(P<0.05)。结论在卵巢囊肿治疗中,腹腔镜下卵巢囊肿剔除术较开腹手术治疗创伤更小,且对卵巢功能影响小,利于其恢复,值得借鉴。

Objective To investigate the effect and safety evaluation of laparoscopic ovarian cyst excision in the treatment of ovarian cyst.Methods A total of 82 patients with ovarian cysts were randomly selected and numbered 1-82.They were divided into the control group and the experimental group by drawing lots,with 41 cases in each group.The control group was treated with conventional laparotomy,and the experimental group was treated with laparoscopic ovarian cyst excision.Patients in both groups were compared in terms of postoperative pain score,recovery(first exhaust time,off-bed activity time,hospitalization time),complication rate,and ovarian function before and after treatment.Results The pain scores of both groups at 3 d postoperatively were lower than those at 1 d postoperatively,and the pain scores of patients in the experimental group(1.67±0.97)points were lower than(2.63±1.02)points of the control group;all the differences were statistically significant(P<0.05).The first exhaust time(23.21±4.15)h,off-bed activity time(19.34±2.45)h,and hospitalization time(4.34±1.01)d of the experimental group were shorter than(32.34±3.84)h and(25.62±3.02)h,(6.14±1.22)d of the control group,and the difference was statistically significant(P<0.05).The complication rate 2.44%in the experimental group was lower than 14.63%in the control group,and the difference was statistically significant(P<0.05).After the operation,the serum follicle stimulating hormone(FSH)and luteinizing hormone(LH)levels of the two groups were higher than those before the operation,and the estradiol(E_(2))level were lower than that before the operation;the FSH and LH of the experimental group were higher than those of the control group,and the E_(2) was lower that of the control group.All the differences were statistically significant(P<0.05).Conclusion In the treatment of ovarian cysts,laparoscopic ovarian cyst enucleation is less invasive than open surgery,and with less impact on ovarian function,which is conducive to their recovery.It is worthy of reference.