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腹腔镜下卵巢囊肿剥除术对卵巢囊肿的治疗效果观察与评定

作者:梁 博

所属单位:河南省漯河市临颍县妇幼保健院妇产科 (河南 漯河 462600)

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摘要

目的 探讨腹腔镜下卵巢囊肿剥除术对卵巢囊肿的治疗效果。方法 将2015年1月-2016年2月104例卵巢囊肿患者根据 数字表法分组。对照组采用开腹手术进行治疗,观察组采用腹腔镜下卵巢囊肿剥除术治疗。比较两组卵巢囊肿治疗 效果;手术出血、手术操作时间、术后康复指标;干预前后患者生理健康水平、心理健康水平、活力水平;1年复 发率。结果 观察组卵巢囊肿治疗效果和对照组无显著差异,P>0.05;观察组手术出血、手术操作时间、术后康复 指标优于对照组,P<0.05;干预前两组生理健康水平、心理健康水平、活力水平相近,P>0.05;干预后观察组生 理健康水平、心理健康水平、活力水平优于对照组,P<0.05。观察组1年复发率低于对照组,P<0.05。结论 腹腔 镜下卵巢囊肿剥除术对卵巢囊肿的治疗效果确切,术中和术后指标更好,康复更快,对促进患者术后生活质量水平 的提高有利,值得推广。

Objective To investigate the effect of laparoscopic ovarian cystectomy on treatment of ovarian cyst. Methods 104 cases with ovarian cyst from January 2015 to February 2016 were randomly divided into two groups. The control group was given laparotomy operation, the observation group was given laparoscopic ovarian cystectomy. Treatment effect of ovarian cyst, operative hemorrhage, operation time, postoperative recovery indexes, physical health level, mental health level, vigor level before and after intervention, one year recurrence rate of the two groups were compared. Results The difference of ovarian cyst treatment effect between the two groups had no statistic significance, P>0.05, operative hemorrhage, operation time, postoperative recovery indexes of the observation group were better than those in the control group, P<0.05, before intervention, physical health level, mental health level, vigor level of the two groups were similar, P>0.05, after intervention, physical health level, mental health level, vigor level of the observation group were better than those in the control group, P<0.05. One year recurrence rate of the observation group was better than that in the control group, P<0.05. Conclusion The application of laparoscopic ovarian cystectomy has accurate treatment effect on ovarian cyst, intraoperative and postoperative indexes are better, rehabilitation is quicker, it can also improve post-operation life quality level and is worthy of promotion.

【关键词】腹腔镜;卵巢囊肿剥除术;卵巢囊肿;治疗效果

【中图分类号】R713.6

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2018.02.017

前言

卵巢囊肿为常见卵巢肿瘤,具有多样的形态和性 质,多发生在20~50岁的女性中,根据卵巢囊肿的性 质,可将其分为良性卵巢囊肿和恶性卵巢囊肿,传统 开腹手术治疗卵巢囊肿可带来较大创伤,延长了术后 恢复周期,且妊娠率不高[1-3]。腹腔镜下卵巢囊肿剥 除术是治疗卵巢囊肿的新型微创术式,本研究分析了 腹腔镜下卵巢囊肿剥除术对卵巢囊肿的治疗效果,报 告如下。