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腹腔镜下超声刀治疗卵巢囊肿的临床效果观察
Laparoscopic ultrasound scalpel in the treatment of ovarian cysts: a clinical effect observation

微创医学 20201506期 页码:736-738+764

作者机构:华中科技大学协和京山医院暨京山市人民医院妇科,湖北省京山市431899

基金信息:

DOI:DOI:10.11864/j.issn.1673.2020.06.11

  • 中文简介
  • 英文简介
  • 参考文献
目的探讨腹腔镜下超声刀治疗卵巢囊肿的临床效果。方法选取卵巢囊肿患者106例,根据随机数字表法分为对照组和观察组,每组53例。对照组采用传统开腹手术治疗,观察组采用腹腔镜下超声刀治疗。比较两组患者的临床指标及治疗前后性激素水平差异。结果观察组的住院时间、术中出血量、胃肠功能恢复时间、术后引流量短/少于对照组(均P<0.05);两组患者的手术时间比较,差异无统计学意义(P>0.05)。治疗后,两组患者的黄体生成素(LH)、卵泡刺激素(FSH)水平均高于治疗前,且观察组的LH、FSH水平高于对照组;治疗后,观察组的雌二醇(E2)水平降低,而对照组的水平升高,且观察组的E2水平低于对照组(均P<0.05)。结论腹腔镜下超声刀治疗卵巢囊肿具有显著的临床疗效,可明显改善患者的临床指标,改善卵巢功能,提高细胞因子水平,值得临床推广应用。
ObjectiveTo investigate the clinical effect of laparoscopic ultrasonic scalpel in the treatment of ovarian cysts. MethodsA total of 106 patients with ovarian cysts were selected and were divided into control group and observation group by the random number table method, with 53 cases in each group. The control group was treated with traditional open surgery, and the observation group was treated with laparoscopic ultrasonic scalpel. The clinical indicators and sexual hormone levels before and after treatment were compared between the two groups. ResultsThe hospital stays, intraoperative blood loss, recovery time of gastrointestinal function and postoperative drainage volume of the observation group were shorter/less than those of the control group (all P<0.05). There was no statistically significant difference in operation time between the two groups (P>0.05). After treatment, the levels of luteinizing hormone(LH) and follicle-stimulating hormone(FSH) in the two groups were higher than before treatment, and the above levels in the observation group were higher than those in the control group; after treatment, the level of estradiol(E2) decreased in the observation group, whereas increased in the control group, and the level was lower in the observation group than in the control group (all P<0.05). ConclusionLaparoscopic ultrasonic scalpel in the treatment of ovarian cysts has a significant clinical effect, which can significantly improve the clinical indicators of patients, improve ovarian function, and increase the level of cytokines, which is worthy of clinical application.

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