经阴道与经腹腔镜治疗良性卵巢囊肿的临床疗效对比  

Comparative study on clinical differences of transvaginal and laparoscopic cystectomy in the treatment of benign ovarian cysts

作　　者：黄小敏[1] 柳晓春[1] 郑玉华[1] 

机构地区：[1]佛山市妇幼保健院妇科,广东佛山528000

出　　处：《包头医学院学报》2016年第6期29-31,共3页Journal of Baotou Medical College

摘　　要：目的:探讨经阴道与经腹腔镜治疗良性卵巢囊肿的临床差别。方法:80例行经阴道良性卵巢囊肿剥除术患者为阴道组,同期80例行腹腔镜下良性卵巢囊肿剥除术患者为腔镜组。通过比较两组各项手术指标、术后恢复状况及性激素变化情况,分析两种术式的临床差别。结果:(1)阴道组的手术时间、术后排气时间、下床活动时间均短于腔镜组(P<0.05),且术后并发症率、术后病率、住院费用均低于腔镜组(P<0.05),两组术中出血量无差异(P>0.05);(2)两组术后1 d血清卵泡刺激素(follicle stimulating hormone,FSH)、黄体生成素(luteotropic hormone,LH)水平均高于术前,雌二醇(estradiol,E2)水平均低于术前(P<0.05);术后1个月阴道组三个指标的水平与术前比较无差异(P>0.05),腔镜组E2水平低于术前(P<0.05),FSH、LH水平与术前比较无差异(P>0.05);(3)阴道组患者术后2周恢复日常家务和工作的概率高于腔镜组(P<0.05)。结论:经阴道和腹腔镜下卵巢囊肿剥除术各有利弊及其适应症,均为较理想的微创术式,应根据患者的具体情况进行选择。Objective：To explore the clinical differences of transvaginal and laparoscopic cystectomy in the treatment of benign ovarian cysts. Method：80 cases of patients received transvaginal ovarian cysteetomy were selected as the transvaginal group, while 80 cases of patients received laparoscopic ovarian cystectomy were selected as the laparoscopic group. The clinical differences between the two groups were analyzed and com- pared in surgical indicators, postoperative recovery status and sex hormone changes. Result： （ 1 ） The operative time, exhaust time and ambulation time in the transvaginal group were shorter than those in the laparoscopic group （ P 〈 0.05 ）. The rates of postoperative complications and morbidity and hospitalization costs were lower than those in the laparoscopic group （ P 〈0.05 ）. There was no significant difference in the amount of bleeding during operation between the two groups （ P 〉 0.05 ）. （2） The levels of follicle stimulation hormone （FSH） and luteinizing hormone （LH） 1 day after surgery in both groups were higher and the estradiol （ E2 ） level were lower than those before operation （ P 〈 0.05 ） ; There was no significant difference in the three indicators＇levels 1 month after operation in the transvaginal group （ P 〉0.05 ）. The E2 level before operation in the laparoscopic group was lower than that before operation （ P 〈 0.05 ） and the FSH and LH levels showed no significant difference before and after opera- tion （ P 〉 0.05 ）. （3） Daily living and work abilities 2 weeks after operation in the transvaginal group were better than those in the laparoscopic group （ P 〉 0.05 ）. Conclusion： The methods of transvaginal and laparoscopic cystectomy in the treatment of ovarian cysts have their own advantages, disadvantages and indications. They are ideal minimally invasive surgery and should be selected according to concrete disease states.

关 键 词：良性卵巢囊肿 阴道 腹腔镜 临床对比研究 

分 类 号：R737.31[医药卫生—肿瘤]