比较分析经阴道后穹隆穿刺引流、腹腔镜手术治疗卵巢黄体破裂效果

Comparative Analysis of the Effectiveness of Transvaginal Posterior Fornix Puncture and Drainage and Laparoscopic Surgery for Ovarian Luteal Rupture

目的分析对卵巢黄体破裂患者采用经阴道后穹隆穿刺引流或者腹腔镜手术的治疗价值。方法方便选取2020年1月—2022年1月大冶市人民医院妇产科卵巢黄体破裂患者76例,按照随机数字表法分为对照组和观察组,各38例。观察组应用经阴道后穹隆穿刺引流术治疗,对照组应用腹腔镜手术治疗,对比两组围术期指指标、术后疼痛程度、并发症发生率、血清性激素水平、妇科超声检查结果以及卵巢储备功能。结果观察组手术时间、住院时间均短于对照组,手术失血量、住院花费均少于对照组,差异有统计学意义(P<0.05);术后6、12、24、48 h,观察组VAS疼痛评分均低于对照组,差异有统计学意义(P<0.05);观察组术后并发症率为2.63%低于对照组的21.05%,差异有统计学意义(P<0.05);术后,观察组血清E_(2)、LH、AFC、PSV、AMH、INHB水平均高于对照组,血清FSH水平低于对照组,差异有统计学意义(P<0.05)。结论对于卵巢黄体破裂患者应用经阴道后穹隆穿刺引流或者腹腔镜手术均可取得比较确切的治疗效果,但穿刺引流术的术后疼痛感轻、并发症率低,且更有利于减少对患者卵巢功能的不良影响。

Objective To analyze the therapeutic value of transvaginal posterior fornix puncture and drainage or laparoscopic surgery in patients with ovarian luteal rupture.Methods 76 patients with ovarian corpus luteum rupture in the Obstetrics and Gynecology Department of Daye People's Hospital from January 2020 to January 2022 were conveniently selected and randomly divided into a control group and an observation group,with 38 cases in each group.The observation group was treated by transvaginal posterior fornix aspiration and the control group was treated by laparoscopic surgery.Compared the perioperative indicators,postoperative pain level,incidence of complications,serum sex hormone levels,gynecological ultrasound results,and ovarian reserve function between the two groups.Results The observation group had shorter surgical time and hospitalization time compared to the control group,with lower surgical blood loss and hospitalization expenses compared to the control group,and the difference was statistically significant(P<0.05).At 6 hours,12 hours,24 hours,and 48 hours after surgery,the VAS pain score in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The postoperative complication rate in the observation group was 2.63%lower than 21.05%in the control group,the difference was statistically significant(P<0.05).After surgery,the serum E_(2),LH,AFC,PSV,AMH,and INHB levels in the observation group were higher than those in the control group,while the serum FSH levels were lower than those in the control group,the difference was statistically significant(P<0.05).Conclusion In patients with ovarian luteal rupture,either transvaginal posterior fornix puncture and drainage or laparoscopic surgery can achieve more definite treatment results,however,has less postoperative pain,has a lower complication rate,and is more conducive to reducing the adverse effects on the ovarian function of patients.