腹腔镜手术在妊娠合并卵巢囊肿中 的效果与安全性研究

Study on the effect and safety of laparoscopic operation in the treatment of patients with pregnancy complicated with ovarian cyst

摘要:

目的 研究观察腹腔镜手术在妊娠合并卵巢囊肿中的效果与安全性。方法 选取2009年1月～2012年12月的160例妊娠合并卵巢囊肿患者为研究对象，将其根据手术方式的不同分为对照组（开腹手术组）80例和观察组（腹腔镜手术组）80例，然后将两组患者的术中出血量、排气时间、住院时间构成、并发症发生率、剖宫产率、早产率、新生儿Apgar评分、手术前后的炎性应激和蛋白代谢指标水平进行比较。结果 观察组术中出血量、排气时间及住院时间构成均好于对照组，并发症发生率低于对照组，剖宫产率和早产率低于对照组，新生儿Apgar评分差于对照组，手术后的炎性应激及蛋白代谢指标也均好于对照组，均P <0.05，差异均有显著性。结论 腹腔镜手术在妊娠合并卵巢囊肿中的效果较好，安全性较高且对患者机体各方面的不良影响相对更小。

Abstract:

【Objective】 To study and observe the effect and safety of laparoscopic operation in the treatment of patients with pregnancy complicated with ovarian cyst. 【Methods】 160 patients with pregnancy complicated with ovarian cyst in our hospital from January 2009 to December 2012 were the research objects, and they were divided into control group (open operation group) 80 cases and observation group (laparoscopic operation group) 80 cases according to the operation types, then the constitution of intraoperative blood loss, evacuation time and hospitalization time, complications rate, cesarean section rate, premature delivery rate, newborns Apager score, inflammatory stress and proteometabolism indexes before and after the operation of two groups were compared. 【Results】 The constitution of intraoperative blood loss, evacuation time and hospitalization time of observation group were all better than those of control group, complications rate was lower than that of control group, cesarean section rate and premature delivery rate were lower than those of control group, newborns Apager score was worse than that of control group, the inflammatory stress and proteometabolism indexes after the operation were all better than those of control group, all P ＜0.05, there were all significant differences. 【Conclusion】 The effect of laparoscopic operation in the treatment of patients with pregnancy complicated with ovarian cyst is better, and the safety is higher, and the bad influence of the operation for the body is relatively smaller.