阴式与腹式卵巢囊肿剥除术的临床效果比较

目的比较阴式与腹式卵巢囊肿剥除术治疗卵巢囊肿临床疗效和安全性。方法回顾性分析116例行阴式手术和115例行开腹手术患者的临床资料,观察和比较手术时间、术中出血量、术后镇痛病例、术后排气时间和住院天数,以及术后血清FSH、E2、LH水平。结果与腹式组相比,阴式组手术时间、术后排气时间和住院时间短,出血量少,疼痛轻(P<0.05;0.01)。两组患者病例在术后1个月E2均明显下降,FSH、LH明显增高(P<0.05),阴式组与腹式组比较差异有统计学意义(P<0.05),术后3个月两组激素水平与术前差异无统计学意义(P>0.05)。结论选择合适的适应证,阴式卵巢囊肿剥除术治疗卵巢囊肿是安全、有效、可行的保留器官和生育能力的手术方法,适合各级医院推广。

Clinical Effect of Vaginal and Abdominal Ovarian Cyst Surgery

Objective To compare clinical effect and safety of vaginal and abdominal ovarian cyst surgery for treatment ovarian cysts.Methods The clinical data of 115 cases with vaginal operation and 116 cases with traditional open operation was retrospective analyzed.The operation time,blood loss,cases with analgesia,exhaust time,hospitalization time and menses time were compared.The levels of FSH,E2 and LH were tested after the operation.Results In the vaginal operation group,the operation time,postoperative exhaust time and hospitalization time was shorter,the blood loss was fewer and the pain of patients was less as compared to the abdominal operation group(P<0.05).The postoperative E2 level in both groups decreased significantly for one month,FSH and LH significantly increased(P<0.05;0.01),there was a significant difference between the two groups(P<0.05).The difference in hormone levels was no statistical significance two months after the operation(P>0.05).Conclusion The vaginal ovarian cyst surgery is safe and feasible that can retain organs and fertility of patients at the base of the appropriate indications,it is suitable for various hospitals.