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目的探讨腹腔镜卵巢囊肿剥除术的临床效果及手术注意事项。方法选取开封市妇幼保健院2009年至2011年收治的自愿行腹腔镜治疗的卵巢囊肿患者67例,选取同期行手术开放治疗患者56例,对比观察两组手术相关情况。术后6个月对患者进行卵巢相关激素卵巢功能相关的雌二醇(E2)、孕酮(P)、促卵泡激素(FSH)及黄体生成素(LH)的检测,对比腹腔镜手术前后激素水平变化。结果术后腹腔镜组在手术出血量,手术时间和住院时间上明显少于开放手术组,差异有统计学意义(P<0.05)。腹腔镜组术后6个月复查E2、P、FSH及LH,差异无统计学意义(P>0.05)。结论腹腔镜手术中尽量减少电凝的使用可减少手术操作对卵巢功能的影响。腹腔镜在卵巢囊肿的治疗中具有时间短、出血少等优势,但也应给严格把握手术适应证,针对囊肿过大、疑似恶性的囊肿应开放治疗,以达到患者的最大受益。
Objective To investigate the clinical effects and surgical precautions of laparoscopic ovarian cyst excision. Methods 67 cases of ovarian cyst voluntarily received laparoscopy in Kaifeng Maternal and Child Health Hospital from 2009 to 2011 were selected. Fifty-six patients underwent open surgery in the same period. The operative conditions were compared between the two groups. The levels of ovary related hormone (E2), progesterone (P), follicle stimulating hormone (FSH) and luteinizing hormone (LH) in ovariectomized rats were measured at 6 months after operation. Horizontal changes. Results The postoperative laparoscopic group was significantly less than the open surgery group in the amount of operation bleeding, operation time and hospitalization, the difference was statistically significant (P <0.05). The laparoscopic group 6 months after the review of E2, P, FSH and LH, the difference was not statistically significant (P> 0.05). Conclusion Laparoscopic surgery to minimize the use of coagulation can reduce the impact of surgical procedures on ovarian function. Laparoscopy in the treatment of ovarian cysts with short time, less bleeding and other advantages, but should also give a strict grasp of surgical indications for cysts is too large, suspected malignant cysts should be open treatment to achieve the greatest benefit to patients.