摘要
目的:探究超声引导卵巢囊肿穿刺术治疗效果与安全性。方法:选择2021年1月-2022年1月本院诊治的卵巢囊肿患者100例,随机分为超声组、腹腔镜组各50例,分别实施超声引导下卵巢囊肿穿刺术或腹腔镜卵巢囊肿剥除术,对比两组临床疗效、手术指标、卵巢功能、性激素水平变化及并发症情况。结果:超声组总有效率(88.0%)高于腹腔镜组(70.0%),手术时间、住院时间、术中出血量与术后排气时间均低于腹腔镜组(P<0.05);两组术后卵泡数与卵巢体积均降低,且腹腔镜组降低幅度大于超声组,两组雌二醇水平均升高、黄体生成素及卵泡刺激素水平均降低且超声组变化幅度大于腹腔镜组,并发症总发生率超声组(4.0%)低于腹腔镜组(16.0%)(均P<0.05)。结论:卵巢囊肿患者经超声引导行卵巢囊肿穿刺术不仅可有效提升临床疗效,改善各项手术指标与性激素水平,还可降低卵巢功能损伤,降低并发症发生率。
Objective:To explore the efficacy and safety of ultrasound-guided ovarian cyst puncture for treating patients with ovarian cyst.Methods:100patients with ovarian cysts were selected and were randomly divided into two groups(50patients in each group)from January 2021to January 2022.The patients in group A were given laparoscopic ovarian cyst excision,and the patients in group B were given ultrasound-guided ovarian cyst puncture.The clinical efficacy,the surgical indexes,the ovarian function,the changes of sex hormones levels,and the complications rate of the patients were compared between the two groups.Results:Thetotal effective rate(88.0%)of the patients in group B was significantly higher than that(70.0%)of the patients in group A,but the operative time,the hospital stay,the intraoperative blood loss,and the postoperative exhaust time of the patients in group B were significantly lower(P<0.05).The number of follicles and ovarian volume of the patients in both groups after operation had decreased significantly,and the change amplitudes of which of the patients in group A were significantly more than those of the patients in group B.The estradiol level of the patients in both groups had increased significantly,and the luteinizing hormone and follicle-stimulating hormone levels of the patients in both groups had decreased significantly,and the change amplitudes of which of the patients in group B were significantly more than those of the patients in group A.The total complication rate(4.0%)of the patients in group B was significantly lower than that(16.0%)of the patients in group A(all P<0.05).Conclusion:Ultrasound-guided ovarian cyst punctures for treating the patients with ovarian cyst can not only effectively increase the clinical efficacy and improve the various surgical indicators and sex hormone levels,but also reduce the injury of ovarian function and the incidence of complications of the patients.
作者
钱美娟
邵菊
林燕
姜智明
QIAN MeiJuan;SHAO Ju;LIN Yan;JIANG Zhiming(The Sixth People's Hospital of Nantong,Nantong,Jiangsu Province,226001)
出处
《中国计划生育学杂志》
2023年第9期2030-2033,共4页
Chinese Journal of Family Planning
