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目的探讨和分析腹腔镜对良性卵巢囊肿患者的治疗效果及对卵巢功能的影响。方法该研究方便选择2012年10月—2016年12月间在新疆维吾尔自治区第二济困医院妇产科进行治疗的50例良性卵巢囊肿患者当做研究对象,按入院顺序分甲组、乙组,甲组26例,乙组24例。乙组患者通过传统开腹手术进行治疗,甲组患者通过腹腔镜手术进行治疗,评价甲乙两组患者的疗效以及性激素水平。结果甲组患者治疗的总有效率96.15%、住院时间(4.35±0.71)d、恢复时间(9.77±1.38)d均优于乙组患者治疗的总有效率75.00%、住院时间(7.28±0.93)d、恢复时间(16.52±2.17)d,差异有统计学意义(P<0.05)。甲组患者的黄体生成素(8.93±1.38)U/L、促卵泡激素(9.01±1.32)U/L、雌二醇(44.38±5.68)ng/L与乙组(8.72±1.31)U/L、促卵泡激素(8.73±1.28)U/L、雌二醇(46.35±5.78)ng/L相比,差异无统计学意义(P>0.05)。结论在良性卵巢囊肿患者治疗中,腹腔镜的应用效果确切,治疗有效率较高,并且腹腔镜手术跟开腹手术一样不影响卵巢的功能,值得推广。
Objective To investigate and analyze the therapeutic effect of laparoscopy on patients with benign ovarian cysts and its influence on ovarian function. Methods This study was to facilitate the selection of 50 patients with benign ovarian cysts who were treated in the obstetrics and gynecology department of the Second Affiliated Hospital of Xinjiang Uygur Autonomous Region from October 2012 to December 2016. The subjects were divided into groups A, B, A group of 26 cases, B group of 24 cases. Patients in group B were treated by traditional laparotomy, patients in group A were treated by laparoscopic surgery, and the efficacy and sex hormone levels were evaluated in both groups. Results The total effective rate of treatment group A was 96.15%, the length of hospitalization (4.35 ± 0.71) d and the recovery time (9.77 ± 1.38) d were all better than those of group B (75.00%, 7.28 ± 0.93) d, recovery time (16.52 ± 2.17) d, the difference was statistically significant (P <0.05). The patients in group A had a significantly higher luteinizing hormone (8.93 ± 1.38) U / L, follicle stimulating hormone (9.01 ± 1.32) U / L, estradiol (44.38 ± 5.68) ng / L and group B (8.72 ± 1.31) U / L , Follicle-stimulating hormone (8.73 ± 1.28) U / L, estradiol (46.35 ± 5.78) ng / L, there was no significant difference (P> 0.05). Conclusion In the treatment of patients with benign ovarian cysts, the laparoscopic application of the exact effect of treatment is relatively high, and laparoscopic surgery, like laparotomy does not affect the ovarian function, it is worth promoting.