腹腔镜下卵巢囊肿剥离术治疗卵巢囊肿的应用价值

Application Value of Laparoscopic Ovarian Cyst Dissection in Treatment of Ovarian Cyst

目的:探讨腹腔镜下卵巢囊肿剥离术治疗卵巢囊肿的应用价值。方法:选取2017年1月—2022年1月黄冈市中医医院收治的卵巢囊肿手术的患者102例为观察对象,按照随机数字表法分为对照组与观察组,各51例。对照组行常规开腹卵巢囊肿剥离术治疗,观察组行腹腔镜辅助卵巢囊肿剥离术治疗。比较两组患者并发症发生率、临床指标、身体恢复指标、疼痛及负性情绪评分[视觉模拟评分法(VAS)、抑郁自评量表(SDS)和焦虑自评量表(SAS)]、卵巢储备功能[卵泡刺激素(FSH)、抗米勒管激素(AMH)、黄体生成素(LH)及雌二醇(E2)]。结果:观察组并发症发生率低于对照组,手术时间和住院时间短于对照组,差异有统计学意义(P<0.05);观察组首次排气时间、首次肠鸣时间、首次进食时间、首次排便时间短于对照组,差异有统计学意义(P=0.001);观察组VAS、SAS、SDS评分低于对照组,差异有统计学意义(P=0.001);观察组FSH、LH、E2水平低于对照组,AMH水平高于对照组,差异有统计学意义(P=0.001)。结论:运用腹腔镜下卵巢囊肿剥离术对卵巢囊疾病进行治疗可加快康复进程,对术后患者疼痛及负性情绪有较好缓解作用,对卵巢储备功能影响小,手术安全性高。

Objective:To investigate the application value of laparoscopic ovarian cyst dissection in the treatment of ovarian cyst.Methods:A total of 102 patients with ovarian cyst undergoing surgical treatment in Huanggang Hospital of Traditional Chinese Medicine from January 2017 to January 2022 were selected as the observation subjects.They were divided into control group and observation group according to random number table method,with 51 cases in each group.The control group received routine open surgery for ovarian cyst dissection.The observation group received ovarian cyst dissection assisted by laparoscopy.The incidence of complications,clinical indicators,physical recovery indicators,pain and negative mood scores[visual analogue scale(VAS),self-rating depression scale(SDS)and self-rating anxiety scale(SAS)],ovarian reserve functions[follicle-stimulating hormone(FSH),anti-Millerian hormone(AMH),luteinizing hormone(LH),and estradiol(E2)]in two groups were compared.Results:The incidence of complications in the observation group was lower than that in the control group,and the operation time and hospital stay in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.05).The first exhaust time,first bowel sound time,first feeding time,and first defecation time in the observation group were shorter than those in the control group,with statistically significant differences(P=0.001).The VAS,SAS and SDS scores in the observation group were lower than those in the control group,and the differences were statistically significant(P=0.001).The levels of FSH,LH and E2 in the observation group were lower than those in the control group,and the levels of AMH in the observation group were higher than those in the control group,and the difference was statistically significant(P=0.001).Conclusion:Laparoscopic ovarian cyst dissection in the treatment of ovarian cystic diseases can accelerate the process of recovery,better relieve postoperative pain and negative mood of patients,have little impact on ovarian reserve function,and have high surgical safety.