目的：观察对比穿刺介入治疗与腹腔镜治疗卵巢冠囊肿的临床疗效。方法：选取本院诊断治疗的89例卵巢冠囊肿患者，分别接受腹腔镜治疗（51例）和穿刺介入治疗（38例），比较两种治疗方法的治疗效果、手术时间、术后感染和恢复情况等。结果：通过对两组手术情况进行对比，得出以下结果，两种治疗方法的治愈率和复发率没有显著性的差异（P>0.05）。腹腔镜治疗的手术时间、住院时间以及医疗费用基本上都是穿刺介入治疗的2倍，而且腹腔镜治疗的术后不良反应发生率为34.85%，穿刺介入治疗的为8.12%，存在着显著性的差异（P=0.006）。结论：与腹腔镜治疗相比，穿刺介入治疗的手术时间、住院时间和医疗费用更低，术后不良反应的发生率也显著低于腹腔镜治疗。
Abstract
Objective: To observe the clinical effect between the interventional treatment and the laparoscopic treatment of parovarian cyst. Methods: Eighty-nine patients with parovarian cyst were treated with laparoscopic treatment(51 cases) and intervention treatment(38 cases) in our hospital. The curative effect, operative time, postoperative infection and recovery were compared between the two treatment methods. Results: The following results were obtained by comparing the operation condition of two groups. The cure rate and the recurrence rate of two treatments had no significant differences(P>0.05). The operative time and length of hospital stay and health care costs of laparoscopic treatment were basically two times of that of targeted interventional treatment. The incidence of postoperative adverse reactions of laparoscopic treatment was 34.85%, and the interventional therapy was 8.12%, there was a significant difference(P=0.006). Conclusion: Compared with laparoscopic treatment, the operation time, hospitalization time, health care costs of interventional treatment were lower, and the incidence of postoperative adverse reactions was significantly lower than that of laparoscopic treatment.
关键词
卵巢囊肿 /
腹腔镜检查 /
超声检查 /
介入性
Key words
Ovarian cysts /
Laparoscopy /
Ultrasonography, interventional
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参考文献
[1]Brookfield KF, Cheung MC, Koniaris LG, et al. A population-based analysis of 1 037 malignant ovarian tumors in the pediatric population[J]. J Surg Res, 2009, 156(1): 45-49.
[2]林月. 综合护理干预对腹腔镜手术治疗卵巢囊肿患者的效果评价[J]. 中国实用护理杂志，2011，27（15）：29-30.
[3]胡辉权，彭勇，龙琼先. 1 026例卵巢囊肿的临床病理分析[J]. 西部医学，2012，24（5）：888-890.
[4]高红梅. 腹腔镜手术与开腹手术在妇科应用上的临床对比[D]. 大连：大连医科大学，2010.
[5]Hesham SA, Hassan HM, Dalal EM, et al. Assessment of the ovarian reserve before and after laparoscopic surgery using two different techniques for ovarian endometrioma[J]. IOSR J Dent Med Sci, 2013, 6(5): 43-48.
[6]张永兴. 卵巢囊肿的中医临床研究[J]. 中国中医药信息杂志，2013，20（2）：111-112.
[7]王建设. 卵巢囊肿的辨治经验[J]. 中医杂志，2009，50（增刊）：72-73.
[8]Abdelmgid SM, Mahmoud CA, Ahmed HM, et al. Laparoscopic treatment of ovarian endometriomas: cystectomy versus fenestration and coagulation[J]. ZUMJ, 2013, 19(3): 370-376.
[9]Rajeshwari BG, Dhulked S, Ramachandran A, et al. Laparoscopic cystectomy of endometrioma: Good surgical technique does not adversely affect ovarian reserve[J]. J Hum Reprod Sci, 2014, 7(2): 125-129.
[10]Muzii L, Dich T, Dim F, et al. The effect of surgery for endometrioma on ovarian reserve evaluated by antral follicle count[J]. Hum Reprod, 2014, 29(10): 2190-2198.
[11]Biacchiardi PCH, Piane DL, Camanni M, et al. Laparoscopic stripping of endometriomas negatively affects ovarian follicular reserve even performed by experienced surgeons[J]. Reprod Biomed Online, 2011, 23(6): 740-746.
[12]马锦霞，刘存芬，赵珍. 腹腔镜与开腹手术治疗卵巢囊肿的临床比较[J]. 昆明医科大学学报，2012，33（9）：81-84.
[13]陈建权，吴蕾，李彤. 超声介入与腹腔镜下治疗卵巢囊肿蒂扭转的疗效对比[J]. 武警后勤学院学报：医学版，2013，22（6）：476-478.
[14]杨琳娜，徐琳，敬晓涛. 腹腔镜与开腹手术治疗卵巢子宫内膜异位囊肿疗效比较[J]. 腹腔镜外科杂志，2009，14（5）：389-391.
[15]莫专萍. 腹腔镜与开腹手术治疗卵巢囊肿的疗效比较[J]. 广西医学，2012，34（3）：321-323.
[16]朱慧玲. 腹腔镜与开腹手术治疗良性卵巢囊肿的疗效及经济学比较[J]. 医学临床研究，2008，25（8）：1429-1431.
