经阴道卵巢囊肿切除术对阴道菌群的影响研究  

Effect of transvaginal ovarian tumorectomy on vaginal flora

作　　者：张丽丽[1] 梁向华[1] 孙丽芳[1] 

机构地区：[1]北京积水潭医院妇产科,100035

出　　处：《中国妇产科临床杂志》2016年第3期234-236,共3页Chinese Journal of Clinical Obstetrics and Gynecology

摘　　要：目的通过经阴道卵巢囊肿切除术前后阴道分泌物培养结果,比较阴道术式与腹腔镜卵巢囊肿切除术的临床特点。方法回顾性分析北京积水潭医院收治的行卵巢囊肿切除的良性肿瘤患者,其中22例行经阴道卵巢肿瘤切除术(研究组),27例行腹腔镜卵巢肿瘤切除术(对照组)。比较两组手术方式的手术时间、术中出血量、术后住院天数、疼痛分级、术后排气时间和术后病率,比较阴式手术前后阴道菌群的变化。结果研究组较对照组手术时间、住院时间更短,术后疼痛更轻,术后肠道功能恢复更快,差异均有统计学意义(P<0.05)。研究组较对照组出血量及术后病率比较,差异均无统计学意义(P>0.05)。结论经阴道卵巢良性肿瘤切除术联合阴道分泌物培养未增加阴道致病菌和术后病率。较腹腔镜卵巢囊肿手术具有手术时间短,术后恢复快,疼痛轻等临床优势。Objective To explore the clinical effect of transvaginal ovarian tumorectomy on vaginal flora through vaginal discharge culture.Methods A retrospective study was conducted for patients underwent benign ovarian tumorectomy,22 cases were in vaginal ovarian tumorectomy group（study group）,while 27 cases consisted of laparoscopic ovarian tumorectomy group（control group）.The following data was evaluated：duration of surgery,estimated blood loss,length of inpatient stay,postoperative pain,postoperative exhaust time and postoperative morbidity.And the changes of viginal flora.Results In study group the duration of surgery,the estimated blood loss,the length of inpatient stay,the postoperative pain,the postoperative exhaust time were significantly lower than those in control group（P〈0.05）.There was no significant differences in the amount of blood loss and postoperative morbidity（P〈0.05）.Conclusions Transvaginal ovarian tumorectomy combined with vaginal discharge culture does not increase vaginal bacteria and postoperative morbidity.It has more advantages compared to laparoscopic ovarian tumorectomy with shorter operative time,faster recovery,and less pain.

关 键 词：经阴道卵巢囊肿切除 腹腔镜卵巢囊肿切除 阴道分泌物培养 

分 类 号：R737.31[医药卫生—肿瘤]