育龄期女性功能性卵巢囊肿破裂出血手术干预的影响因素分析

Analysis of the influencing factors of surgical intervention for rupture and bleeding of functional ovarian cyst in women of childbearing age

目的 分析育龄期女性功能性卵巢囊肿破裂出血手术干预的影响因素。方法 回顾性分析2018年5月至2020年5月本院接收的80例育龄期女性功能性卵巢囊肿破裂出血患者作为研究对象,根据不同治疗方法分为两组,将采用手术治疗的患者纳入手术组(n=30),将保守治疗的患者纳入保守组(n=50),比较两组临床资料、特征,分析手术干预的危险因素,并探讨卵巢囊肿破裂出血的治疗策略。结果 单因素分析显示,手术组盆腔积液深度≥5.7 cm占比高于保守组,手术组舒张压低于保守组,差异有统计学意义(P<0.05);两组年龄、婚姻状况、生育情况、月经周期、破裂原因、囊肿大小、卵巢囊肿位置、收缩压、脉搏和血红蛋白浓度指标比较差异无统计学意义。多因素分析显示,盆腔积液深度和舒张压是影响育龄期女性功能性卵巢囊肿破裂出血患者手术干预的独立危险因素。结论 功能性卵巢囊肿破裂出血患者就诊时若出现舒张压降低且伴有腹腔积血量较大,应及时采取手术干预,就诊时生命体征无异常且腹腔积液量较少,可选择保守治疗。

Objective To analyze the influencing factors of surgical intervention for rupture and bleeding of functional ovarian cyst in women of childbearing age. Methods 80 cases of female patients with rupture and bleeding of functional ovarian cyst of childbearing age received in our hospital from May 2018 to May 2020 were retrospectively analyzed, and they were divided into two groups according to different treatment methods, the patients with surgical treatment were included in the operation group(n=30) and the patients with conservative treatment were included in the conservative group(n=50). The clinical data and characteristics of the two groups were compared and the risk factors of surgical intervention were analyzed, and explore the treatment strategy of rupture and bleeding of ovarian cyst was discussed. Results Univariate analysis showed that the proportion of pelvic effusion depth ≥ 5.7 cm in the operation group was higher than that in the conservative group, and the diastolic blood pressure in the operation group was lower than that in the conservative group(P<0.05);There was no significant difference in the age, marital status, fertility, menstrual cycle, rupture cause, cyst size, ovarian cyst location, systolic blood pressure, pulse and hemoglobin concentration between the two groups. Multivariate analysis showed that the depth of pelvic effusion and diastolic blood pressure were independent risk factors for surgical intervention in women of childbearing age. Conclusion Patients with rupture and bleeding of functional ovarian cyst should take surgical intervention in time, if their diastolic blood pressure decreases and abdominal hematocele is large. If the vital signs are normal and the amount of hemoperitoneum is few, conservative treatment can be selected.