卵巢囊肿给予腹腔镜手术治疗的临床效果分析

朱维纳

[摘要] 目的 分析对卵巢囊肿患者给予腹腔镜手术治疗的临床效果。方法 方便选取该院妇科2015年6月—2017年6月收治的76例卵巢囊肿患者进行观察，将行腹腔镜手术治疗的38例患者设为观察组，行开腹手术治疗的38例患者设为对照组，观察两组治疗效果、术后并发症发生率。结果 观察组、对照组并发症发生率分别为2.63%、13.16%，差异有统计学意义（P<0.05）；观察组的出血量、肠胃蠕动恢复时间分别为（39.4±11.2）mL、（15.1±2.3）h，明显低于对照组（P<0.05）；观察组手术时间、住院时间、VAS疼痛评分均低于对照组（P<0.05）。结论 对卵巢囊肿患者给予腹腔镜手术治疗的疗效突出，切口小、疼痛感少、美容效果好、恢复时间短、并发症少，加快患者术后恢复，安全性高。

[关键词] 卵巢囊肿；腹腔镜手术；临床效果

[中图分类号] R71 [文献标识码] A [文章编号] 1674-0742（2017）12（b）-0093-03

[Abstract] Objective To analyze the clinical effect of laparoscopic surgery in treatment of oophoritic cyst. Methods 76 cases of patients with oophoritic cyst admitted and treated in our hospital from June 2015 to June 2017 were convenient selected and divided into two groups with 38 cases in each， the observation group and the control group were respectively treated with laparoscopic surgery and laparotomy， and the treatment effect and incidence rate of postoperative complications of the two groups were observed. Results The incidence rate of complications in the observation group and in the control group was respectively 2.63% and 13.16%， and the difference was statistically significant（P<0.05）， and the bleeding amount and recovery time of enterogastric peristalsis in the observation group were respectively （39.4±11.2）mL and （15.1±2.3）h， which was obviously lower than those in the control group（P<0.05）， and the operation time， length of stay and VAS in the observation group were lower than those in the control group（P<0.05）. Conclusion The curative effect of laparoscopic surgery in treatment of oophoritic cyst is outstanding with small incision， less pains， good cosmetic effect， short recovery time， and few complications， high safety， and it can accelerate the postoperative recovery.

[Key words] Oophoritic cyst； Laparoscopic surgery； Clinical effect

近年來，随着社会的发展、人们生活方式的转变，卵巢囊肿患者发病率呈逐年上升趋势，引起临床上高度重视。卵巢囊肿属于卵巢肿瘤的一种，是女性生殖系统常见、多发疾病，患者主要有疼痛、月经不调、下腹包块、白带异常等临床表现，给患者心理、生理均带来极大的伤害，降低患者生活质量[1-2]。因卵巢的组织解剖、胚胎发育、内分泌功能较复杂，卵巢囊肿起病隐匿，早期患者无典型症状，诊断困难，延误治疗的最佳时期，治疗难度大[3]。临床上多采用开腹手术、腹腔镜手术进行治疗。开腹手术创伤大，术后并发症发生率高，预后较差。腹腔镜手术具有切口小、疼痛感少、美容效果好等优点。该文就对该院2015年6月—2017年6月收治的76例卵巢囊肿患者给予腹腔镜手术治疗的临床效果进行探讨，现报道如下。

1 资料与方法

1.1 一般资料

观察对象方便选用该院妇科收治的76例卵巢囊肿患者。根据不同手术方法分为观察组、对照组。其中阴道出血异常患者26例、腹部包块30例、腹部疼痛20例。……