腹腔镜下卵巢良性肿瘤剔除术中的疗效及对卵巢功能的影响研究  

Study on the effect of laparoscopic resection of benign ovarian tumor andits influence on the ovarian function

作　　者：杨宁 张春红 范蒙 尚铁燕 YANG Ning;ZHANG Chunhong;FAN Meng;SHANG Tieyan(Department of Gynecology,Weinan Central Hospital,Weinan 714000,Shaanxi,China)

机构地区：[1]渭南市中心医院妇科,陕西渭南714000

出　　处：《中国性科学》2018年第5期64-67,共4页Chinese Journal of Human Sexuality

摘　　要：目的:研究腹腔镜下卵巢良性肿瘤剔除术中的临床疗效及对卵巢功能的影响程度。方法:将2013年11月至2016年10月渭南市中心医院收治的80例卵巢良性肿瘤剔除术患者作为研究对象,根据手术方式的不同将其分为对照组和观察组。对照组的40例患者进行开腹手术,观察组的40例患者进行腹腔镜手术。统计与比较两组患者的临床总有效率、手术时间、出血量、排气排便时间及手术前后的卵巢血供与生殖激素水平。结果:观察组的临床总有效率高于对照组,手术时间及排气排便时间短于对照组,出血量小于对照组,手术后的卵巢血供与生殖激素水平好于对照组,差异具有统计学意义(P<0.05)。结论:腹腔镜下卵巢良性肿瘤剔除术中的临床疗效较好,且对卵巢功能的不良影响更小,因此在卵巢良性肿瘤中的应用价值更高。Objective： To study the clinical effect of laparoscopic resection of benign ovarian tumor and its influence on the ovarian function. Methods： 80 patients received resection of benign ovarian tumor in Weinan Central Hospital from November 2013 to October 2016 were divided into control group and observation group according to different kinds of surgery received. 40 cases in the control group were treated with open operation,while 40 cases in the observation group were treated with laparoscopic operation. The total effective rates,operation time,blood loss,exhaust and defecation time,ovarian blood supply and reproductive hormone levels before and after the operation of two groups were analyzed and compared. Results： The total effective rate of observation group were higher than that of the control group; the operation time,exhaust and defecation time were shorter than those of control group; blood loss was less than that of control group; the ovarian blood supply and reproductive hormone levels after the operation were better than those of control group. The differences were all significant（ P〈0. 05）.Conclusions： The clinical effect of laparoscopic resection of benign ovarian tumor is remarkable with little adverse influence on the ovarian function,making its application value in the patients with benign ovarian tumor high.

关 键 词：腹腔镜手术 开腹手术 卵巢良性肿瘤剔除术 临床疗效 卵巢功能 

分 类 号：R737.31[医药卫生—肿瘤]