摘要
目的探讨腹腔镜手术联合药物对卵巢巧克力囊肿患者术后生活质量的影响。方法从该院2015年6月—2017年6月间收治的卵巢巧克力囊肿患者中随机选取90例为研究对象,按照治疗情况均分为对照组和观察组,各45例。对照组患者用腹腔镜手术治疗,观察组在对照组基础上加用醋酸亮丙瑞林缓释微球,进行两组疾病治疗效果的对比。结果对照组和观察组的疾病治疗总有效率分别为73.3%和91.1%,数据间差异有统计学意义(χ2=4.864,P=0.027),观察组与对照组疾病复发率分别为4.4%和20.0%,差异有统计学意义(χ2=5.074,P=0.024);两组患者接受治疗前生活质量差异无统计学意义(P>0.05),观察组治疗后生活质量评分为(230.6±3.6)分,与对照组的(205.5±3.1)分相比,差异有统计学意义(t=35.442,P=0.000);观察组腰骶坠胀缓解时间为(5.5±1.2)d,性交痛缓解时间为(5.9±0.8)d,痛经缓解时间为(6.2±0.7)d,与对照组的(8.2±1.6)d、(8.7±1.5)d和(9.0±1.2)d相比,差异有统计学意义(t=9.056、11.049、13.520,P=0.000、0.000、0.000);对比两组并发症发生率,差异有统计学意义(χ2=4.405,P=0.035)。结论腹腔镜术后预防用药有效提高卵巢巧克力囊肿患者术后生活质量,值得在深入探讨的基础上展开广泛应用。
Objective To investigate the effect of laparoscopic surgery combined with drugs on postoperative quality of life in patients with ovarian chocolate cyst.Methods From June 2015 to June 2017,90 patients with ovarian chocolate cyst were randomly divided into control group(n=45)and observation group(n=45).The patients in the control group were treated with laparoscopic surgery,and the observation group was treated with levialin acetate sustained release microspheres on the basis of the control group,and the therapeutic effects of the two groups were compared.Results The total effective rates of disease treatment in the control group and the observation group were 73.3%and 91.1%,and the difference was statistically significant(t=4.864,P<0.05).The recurrence rates of the observation group and the control group were 4.4%and 20.0%,respectively.there were statistically significant differences between the observation group and the control group(χ2=5.074,P=0.024).There was no statistically significantt difference in quality of life between the two groups before treatment(P>0.05).The score of quality of life after treatment in the observation group was(230.6±3.6)points,which was significantly different from that in the control group(205.5±3.1)points(t=35.442,P=0.000).The remission time of[umbosacral bulge was(5.5±1.2)d,and the remission time of sexual intercourse pain was(5.9±0.8)d,and the remission time of dysmenorrhea was(6.2±0.7)d,which was significantly different from that of the control group(8.2±1.6)d,(8.7±1.5)d,(9.0±1.2)d,and there was statistically significant difference between the two groups(t=9.056,11.049,13.520,P=0.000,0.000,0.000).There was a statistical difference in the incidence of complications between the two groups(χ2=4.405,P=0.035).Conclusion The preventive drug use after laparoscopy is effective.The postoperative quality of life of patients with high ovarian chocolate cyst is worthy of extensive application on the basis of in-depth discussion.
作者
肖登霞
XIAO Deng-xia(Department of Gynecology,the First Affiliated Hospital of Fujian Medical University,Fuzhou,Fujian Province,350001 China)
出处
《中外医疗》
2020年第9期65-67,共3页
China & Foreign Medical Treatment
关键词
腹腔镜手术
药物治疗
卵巢巧克力囊肿
生活质量
并发症
Laparoscopic surgery
Drug therapy
Ovarian chocolate cyst
Quality of life
Complications
