论文部分内容阅读
目的:探讨腹腔穿刺留置术在治疗重度卵巢过度刺激综合征(OHSS)的临床疗效。方法:将20例重度OHSS患者在B超定位下采用中心静脉导管(CVC)进行腹腔穿刺并留置持续引流,同时联合扩容、抗凝、补充晶体、胶体等综合治疗。结果:引流后所有患者腹胀、纳差、胸闷、呼吸困难等不适症状均快速缓解,腹围、体重显著下降(P<0.001),24 h尿量增多(P<0.001),但血清白蛋白在穿刺后呈下降趋势(P<0.05),平均置管时间为(12.4±7.7)天,平均住院时间为(18.4±11.6)天。结论:腹腔穿刺留置术治疗重度OHSS改善症状迅速,操作灵活,是一种行之有效的治疗方法。
Objective: To investigate the clinical efficacy of abdominal paracentesis in the treatment of severe ovarian hyperstimulation syndrome (OHSS). Methods: Twenty patients with severe OHSS underwent B-mode ultrasonography with central venous catheter (CVC) for peritoneal puncture and indwelling continuous drainage. Combined with dilatation, anticoagulation, crystalloid and colloid therapy, 20 patients with severe OHSS were enrolled. Results: The symptoms of discomfort such as abdominal distension, anorexia, chest tightness and dyspnea were rapidly relieved in all patients after drainage. The abdominal circumference and body weight decreased significantly (P <0.001) and the urine output increased 24 h (P <0.001) After puncturing showed a downward trend (P <0.05), the average catheterization time was (12.4 ± 7.7) days, the average length of stay was (18.4 ± 11.6) days. Conclusion: Peritoneal laparoscopic surgery for severe OHSS can improve the symptoms and the operation is flexible. It is an effective treatment method.