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目的:探讨不同卵巢囊肿蒂扭转手术方式治疗的安全性及有效性。方法:选取2009年1月至2013年6月于山东省阳谷县人民医院行手术治疗的48例卵巢囊肿蒂扭转患者,其中26例行保留附件的囊肿剥除术(A组)和22例行患侧附件切除术(B组)。比较两组患者的发病时间、卵巢囊肿扭转周数、手术时间、术中平均出血量、术后住院时间、雌激素及孕激素水平。结果:A组的发病时间、囊肿扭转周数小于B组(P<0.05),手术时间长于B组(P<0.05),雌、孕激素水平恢复情况优于B组(P<0.05);而两组的术中平均出血量、术后住院时间无统计学差异(P>0.05)。结论:卵巢囊肿蒂扭转手术治疗中卵巢的去留由多因素决定,保留卵巢的保守性手术具有一定的安全性及有效性。
Objective: To investigate the safety and efficacy of different ovarian cyst torsion surgery. Methods: Forty-eight patients with ovarian cyst torsion were surgically treated in Yanggu County People’s Hospital of Shandong Province from January 2009 to June 2013. Twenty-six patients underwent cyst excision (A group) and 22 patients Line ipsilateral attachment resection (B group). The onset time of the two groups of patients, the number of weeks of ovarian cyst torsion, the operation time, the mean intraoperative blood loss, postoperative hospital stay, estrogen and progesterone levels were compared. Results: The onset time of group A and the number of weeks of cyst torsion were less than those of group B (P <0.05), and the operation time was longer than that of group B (P <0.05). The recovery of estrogen and progesterone was better than that of group B (P <0.05). The mean intraoperative blood loss and postoperative hospital stay were not significantly different between the two groups (P> 0.05). CONCLUSION: Ovarian debridement during ovarian cyst torsion surgery is determined by many factors. The preservation of ovarian conservative surgery has certain safety and efficacy.