腹腔镜手术在妊娠合并附件包块患者中的应用效果  

Application Effect of Laparoscopic Surgery on Pregnancy Complicated with Adnexal Mass

作　　者：崔晓燕 CUI Xiaoyan(Junan County People's Hospital,Junan 276600,China)

机构地区：[1]莒南县人民医院,山东莒南276600

出　　处：《中外医学研究》2025年第5期119-122,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨腹腔镜手术在妊娠合并附件包块患者中的应用效果。方法:选取2018年9月—2023年9月莒南县人民医院48例妊娠合并附件包块患者,随机将患者分为两组,各24例。观察组采用腹腔镜手术,对照组采用传统开腹手术。对比两组手术指标、手术前后循环指标、妊娠结局及并发症。结果:观察组手术时间及住院时间明显短于对照组,术后排气时间、下床活动时间显著早于对照组,术中出血量显著少于对照组,差异有统计学意义(P<0.05)。两组术前循环指标比较,差异无统计学意义(P>0.05);术后,观察组心率(HR)低于对照组,平均动脉压(MAP)、血氧饱和度(SpO_(2))高于对照组,差异有统计学意义(P<0.05)。术后随访,两组患者均无早产、流产等情况发生。观察组新生儿出生孕周、出生体重、出生身长及5 min Apgar评分与对照组比较,差异无统计学意义(P>0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:妊娠合并附件包块患者行腹腔镜手术治疗,术后恢复快,有利于维持循环指标稳定,妊娠结局良好,可降低并发症风险。Objective:To observe the application effect of laparoscopic surgery on pregnancy complicated with adnexal mass.Method:From September 2018 to September 2023,a total of 48 pregnant patients complicated with accessory mass were selected from Junan County People's Hospital,and they were randomly divided into two groups,with 24 cases in each group.The observation group received laparoscopic surgery,while the control group received traditional open surgery.The surgical indicators,the preoperative and postoperative circulation indicators,the pregnancy outcomes and complications were compared between the two groups.Result:The operation time and hospital stay in the observation group were significantly shorter than those in the control group,the postoperative exhaust time and the time of getting out of bed were significantly earlier than those in the control group,and the intraoperative blood loss was significantly less than that in the control group,the differences were statistically significant(P<0.05).There were no significant differences in preoperative circulation indexes between the two groups(P>0.05);after operation,heart rate(HR)in observation group was lower than control group,mean arterial pressure(MAP)and oxyhemoglobin saturation(SpO_(2))were higher than control group,the differences were statistically significant(P<0.05).Postoperative follow-up showed that no preterm birth or abortion occurred in both groups.There were no significant differences in gestational week,birth weight,birth length and 5 min Apgar score of the newborns between the observation group and the control group(P>0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:The patients with pregnancy complicated with adnexal mass underwent laparoscopic surgery has a rapid postoperative recovery,which is conducive to maintaining stable circulation indicators,good pregnancy outcome,and reducing the risk of complications.

关 键 词：腹腔镜 妊娠合并附件包块 手术安全性 妊娠结局 

分 类 号：R714.2[医药卫生—妇产科学]