腹腔镜微创手术对卵巢良性肿瘤患者机体创伤及卵巢功能的影响  

Influence of Laparoscopic Minimally Invasive Surgery on the Body Trauma and Ovarian Function in Patients with Benign Ovarian Tumor

作　　者：薛燕[1] 郭晓莉[1] 李春芳[1] 张福梅[1] 

机构地区：[1]陕西省延安市人民医院妇产科一病区,陕西延安716000

出　　处：《河北医学》2017年第2期215-218,共4页Hebei Medicine

基　　金：陕西省科技厅攻关项目;(编号:2010K2-09)

摘　　要：目的:研究腹腔镜微创手术对卵巢良性肿瘤患者机体创伤及卵巢功能的影响。方法:选取我院2010年10月至2016年10月卵巢畸胎瘤患者78例,按照门诊就诊顺序为患者编号,采用随机数表法随机分为观察组与对照组两组,每组39例,观察组患者实施腹腔镜微创手术治疗,对照组患者实施开腹手术治疗,比较两组患者围术期相关指标水平,雌二醇(E2)、促卵泡刺激素(FSH)和促黄体素(LH)等卵巢功能指标水平变化。结果:观察组患者术中出血量、术后恢复排气时间较对照组显著较短,术后镇痛率为23.08%较对照组82.05%显著较低(P>0.05);两组患者治疗前后E2、FSH、LH水平均较治疗前变化不显著(P>0.05)。结论:腹腔镜微创手术治疗卵巢成熟畸胎瘤对患者机体造成的创伤小,且不会对卵巢功能造成更大损伤,值得临床应用推广。Objective： To study the influence of laparoscopic minimally invasive surgery on trauma and ovarian function in patients with benign ovarian tumors. Methods： From October 2010 to October 2016, 78 cases with benign ovarian tumors in our hospital were numbered according to the order of treatment, and they were randomly divided into the observation group and the control group by the random number table method, 39 cases in each group. The observation group was treated with laparoscopic minimally invasive surgery, while the control group was treated with open surgery. The levels of perioperative related indicators and changes of ovarian function indexes [ estradiol （ E2 ）, follicle stimulating hormone （FSH ）, luteinizing hormone （ LH） ] were compared between the two groups. Results： The intraoperative blood loss and time of postoperative exhaust recovery of the observation group were significantly less and shorter than those in the control group, and the postoperative analgesia rate was significantly lower than that in the control group （ 23.08% vs 82.05% ） （ P 〈 0.05 ）. There were no significant changes in the levels of E2, FSH and LH in the two groups before and after treatment （P〉 0.05）. Conclusion： Laparoscopic minimally invasive surgery will cause small trauma in the treatment of patients with ovarian teratoma. The effect on ovarian function is relatively small, and it can better protect the immune function in patients. It is worthy of clinical application. October

关 键 词：腹腔镜微创手术 卵巢畸胎瘤 创伤 卵巢功能 

分 类 号：R737.31[医药卫生—肿瘤]