经阴道卵巢囊肿剥除术治疗良性卵巢囊肿临床疗效分析  

Analysis of Clinical Effect of Transvaginal Ovarian Cystectomy for Benign Ovarian Cyst

作　　者：王琳[1] WANG Lin(Department of Gynecology,Zibo Maternal and Child Health Hospital,Zibo,Shandong Province,255029 China)

机构地区：[1]淄博市妇幼保健院妇科,山东淄博255029

出　　处：《世界复合医学》2020年第7期37-39,共3页World Journal of Complex Medicine

摘　　要：目的研究将经阴道卵巢囊肿剥除术运用于治疗良性卵巢囊肿的临床疗效及应用价值。方法将2017年3月—2019年3月于该院接受手术治疗的100例良性卵巢囊肿患者按照随机分组法将其分为实验组(实施经阴道卵巢囊肿剥除术)和参照组(实施经腹腔镜卵巢囊肿剥除术),各50例。对比两组患者的术中术后各项指标及并发症情况。结果实验组手术时间、住院时间及术后肛门首次排气时间分别为(40.12±13.75)min、(5.2±1.5)d、(9.8±3.9)h明显低于参照组的(69.13±12.76)min、(7.3±2.9)d、(16.8±4.3)h;实验组术中出血量为(35.69±15.18)mL显著少于参照组的(85.64±16.12)mL,差异有统计学意义(P<0.05);参照组并发症总发生率为24%,实验组为6%,实验组显著低于参照组(χ^2=6.353,P<0.05);术后6个月实验组患者疾病复发2例,复发率为4%,参照组疾病复发11例,复发率为11%,实验组疾病复发例数显著低于参照组(χ^2=7.162,P<0.05);实验组治愈率92.00%,参照组治愈率90.00%,两组比较差异无统计学意义(χ^2=1.124,P>0.05)。结论相比于腹腔镜手术,经阴道卵巢囊肿剥除术能够显著缩短住院时间,减少手术创伤,降低并发症的发生率及囊肿复发率。Objective To study the clinical efficacy and application value of transvaginal ovarian cystectomy for the treatment of benign ovarian cysts.Methods 100 patients with benign ovarian cysts who underwent surgical treatment in the hospital from March 2017 to March 2019 were divided into an experimental group(implementing transvaginal ovarian cystectomy)and a reference group(implementing Laparoscopic ovarian cystectomy),50 cases each.The indexes and complications of the two groups of patients during and after operation were compared.Results The operation time,hospitalization time and the first time of postoperative anal exhaustion in the experimental group were(40.12±13.75)min,(5.2±1.5)d,(9.8±3.9)h,which were significantly lower than that of the reference group(69.13±12.76)min,(7.3±2.9)d,(16.8±4.3)h;the intraoperative blood loss of the experimental group was(35.69±15.18)mL,which was significantly less than that of the reference group(85.64±16.12)mL.The difference was statistical significant(P<0.05);the total incidence of complications in the reference group was 24%,the experimental group was 6%,the experimental group was significantly lower than the reference group(χ^2=6.353,P<0.05);the disease in the experimental group 6 months after surgery with 2 cases of recurrence,the recurrence rate was 4%,11 cases of disease recurrence in the reference group,and the recurrence rate was 22%.The number of cases of disease recurrence in the experimental group was significantly lower than that in the reference group(χ^2=7.162,P<0.05);the cure rate in the experimental group was 92.00%and that in the reference group was 90.00%.There was no statistically significant difference between the two groups(χ^2=1.124,P>0.05).Conclusion Compared with laparoscopic surgery,transvaginal ovarian cystectomy can significantly shorten the length of hospital stay,reduce surgical trauma,reduce the incidence of complications and cyst recurrence.

关 键 词：经阴道 经腹腔镜 囊肿剥除术 良性卵巢囊肿 临床疗效 

分 类 号：R713[医药卫生—妇产科学]