当代医学
噹代醫學
당대의학
Contemporary Medicine
2015年
34期
1-3
,共3页
腹腔镜卵巢囊肿剔除术%卵巢良性肿瘤%卵巢功能
腹腔鏡卵巢囊腫剔除術%卵巢良性腫瘤%卵巢功能
복강경란소낭종척제술%란소량성종류%란소공능
Laparoscopic Ovarian Cystectomy%Benign Ovarian Tumor%Ovarian Function
目的 分析腹腔镜卵巢囊肿剔除术不同止血方式对卵巢良性肿瘤患者卵巢功能的影响.方法 将88例行腹腔镜卵巢囊肿剔除术的卵巢良性肿瘤患者按照术中不同止血方式分为2组,各44例,A组行缝合止血,B组行双极电凝止血,观察2组患者术中手术情况、卵巢储备功能情况等.结果 A组患者手术时间(52.4±12.5)min长于B组的(40.8±10.6)min(P<0.05);出血量(83.6±20.8)mL多于B组(59.4±18.2)mL(P<0.05);A组住院时间为(7.8±1.9)d,B组住院时间为(7.5±1.6)d,2组患者住院时间比较差异无统计学意义.A组术后激素变化差异有统计学意义,优于B组(P<0.05);A组术前(6.8±1.2)F 0,术后(5.6±1.4)F 0;B组术前(6.5±1.3)F 0,术后(3.4±1.5)F 0;2组术后对比A组患侧卵巢窦卵泡数高于B组,差异有统计学意义(t=7.112,P<0.05).A组术前子宫截面面积(4.1±1.5)cm 2,B组术前子宫截面面积为(4.0±1.4)cm 2;A组术后子宫截面面积(4.2±1.4)cm 2,B组术后子宫截面面积为(4.1±1.5)cm 2;2组患者手术前后子宫截面面积差异无统计学意义;A组患者术前PSV(12.6±1.6)cm/s与B组患者的(12.5±1.5)cm/s差异无统计学意义;术后3个月A组患者PSV为(11.8±1.4)cm/s显著优于B组患者的(5.9±1.5)cm/s(P<0.05).结论 腹腔镜卵巢囊肿剔除术治疗卵巢良性肿瘤,术中缝合止血方式虽然会相对延长手术时间,增加术中出血量,但对卵巢功能影响较小,术后子宫恢复较好,对卵巢功能影响较小,值得临床应用及推广.
目的 分析腹腔鏡卵巢囊腫剔除術不同止血方式對卵巢良性腫瘤患者卵巢功能的影響.方法 將88例行腹腔鏡卵巢囊腫剔除術的卵巢良性腫瘤患者按照術中不同止血方式分為2組,各44例,A組行縫閤止血,B組行雙極電凝止血,觀察2組患者術中手術情況、卵巢儲備功能情況等.結果 A組患者手術時間(52.4±12.5)min長于B組的(40.8±10.6)min(P<0.05);齣血量(83.6±20.8)mL多于B組(59.4±18.2)mL(P<0.05);A組住院時間為(7.8±1.9)d,B組住院時間為(7.5±1.6)d,2組患者住院時間比較差異無統計學意義.A組術後激素變化差異有統計學意義,優于B組(P<0.05);A組術前(6.8±1.2)F 0,術後(5.6±1.4)F 0;B組術前(6.5±1.3)F 0,術後(3.4±1.5)F 0;2組術後對比A組患側卵巢竇卵泡數高于B組,差異有統計學意義(t=7.112,P<0.05).A組術前子宮截麵麵積(4.1±1.5)cm 2,B組術前子宮截麵麵積為(4.0±1.4)cm 2;A組術後子宮截麵麵積(4.2±1.4)cm 2,B組術後子宮截麵麵積為(4.1±1.5)cm 2;2組患者手術前後子宮截麵麵積差異無統計學意義;A組患者術前PSV(12.6±1.6)cm/s與B組患者的(12.5±1.5)cm/s差異無統計學意義;術後3箇月A組患者PSV為(11.8±1.4)cm/s顯著優于B組患者的(5.9±1.5)cm/s(P<0.05).結論 腹腔鏡卵巢囊腫剔除術治療卵巢良性腫瘤,術中縫閤止血方式雖然會相對延長手術時間,增加術中齣血量,但對卵巢功能影響較小,術後子宮恢複較好,對卵巢功能影響較小,值得臨床應用及推廣.
목적 분석복강경란소낭종척제술불동지혈방식대란소량성종류환자란소공능적영향.방법 장88례행복강경란소낭종척제술적란소량성종류환자안조술중불동지혈방식분위2조,각44례,A조행봉합지혈,B조행쌍겁전응지혈,관찰2조환자술중수술정황、란소저비공능정황등.결과 A조환자수술시간(52.4±12.5)min장우B조적(40.8±10.6)min(P<0.05);출혈량(83.6±20.8)mL다우B조(59.4±18.2)mL(P<0.05);A조주원시간위(7.8±1.9)d,B조주원시간위(7.5±1.6)d,2조환자주원시간비교차이무통계학의의.A조술후격소변화차이유통계학의의,우우B조(P<0.05);A조술전(6.8±1.2)F 0,술후(5.6±1.4)F 0;B조술전(6.5±1.3)F 0,술후(3.4±1.5)F 0;2조술후대비A조환측란소두란포수고우B조,차이유통계학의의(t=7.112,P<0.05).A조술전자궁절면면적(4.1±1.5)cm 2,B조술전자궁절면면적위(4.0±1.4)cm 2;A조술후자궁절면면적(4.2±1.4)cm 2,B조술후자궁절면면적위(4.1±1.5)cm 2;2조환자수술전후자궁절면면적차이무통계학의의;A조환자술전PSV(12.6±1.6)cm/s여B조환자적(12.5±1.5)cm/s차이무통계학의의;술후3개월A조환자PSV위(11.8±1.4)cm/s현저우우B조환자적(5.9±1.5)cm/s(P<0.05).결론 복강경란소낭종척제술치료란소량성종류,술중봉합지혈방식수연회상대연장수술시간,증가술중출혈량,단대란소공능영향교소,술후자궁회복교호,대란소공능영향교소,치득림상응용급추엄.
Objective To analyze the impact of laparoscopic ovarian cystectomy in the ovarian function for patients with benign ovarian tumor.Methods 88 patients with benign ovarian tumor of receiving the laparoscopic ovarian cystectomy were divided into two groups according to different intraoperative hemostasis. Group A adopted the suturing method and Group B adopted thebipolar coagulation hemostasis. The operation conditions like intraoperative condition and ovarian reserve function of two groups was observed.Results The operation time of Group A was longer than that of Group B; the bleeding quantity of Group A was more than that of Group B (P<0.05); the hospitalization time of two groups was not different; after surgery, the hormone of Group A was not significantlydifferent, which it was better than that of Group B; the number of antral follicles of bilateral ovaries of Group A was more than that of Group B (P<0.05); before and after surgery, the sectional area of uterus of two groups was not different; before surgery, PSV of two groups was not different; after 3m of surgery, PSV of Group A was significantly better than that of Group B (P<0.05).Conclusion The laparoscopic ovarian cystectomy has an obvious effect in the treatment of benign ovarian tumor. Although the suturing hemostasis will comparatively prolong the operation time and enhance the bleeding quantity during surgery, it will have fewer impacts in the ovarian function and better promote the uterus recovery. It is worthy of clinical application and promotion.
