摘要
目的研究腹腔镜手术治疗妊娠合并卵巢良性肿瘤患者的效果及对妊娠结局的影响。方法64例妊娠合并卵巢良性肿瘤患者作为研究对象,按照入院的先后顺序分为对照组和实验组,每组32例。对照组患者进行常规开腹手术治疗,实验组患者进行腹腔镜手术治疗。比较两组患者术中及术后情况,妊娠结局,新生儿健康评分。结果实验组患者术中出血量(24.67±4.03)ml少于对照组的(86.97±3.64)ml,手术时长(48.63±3.67)min、术后排气时间(14.56±3.11)h、术后离床时间(19.74±3.09)h、住院时长(6.12±0.87)d均短于对照组的(74.56±9.06)min、(27.01±2.65)h、(32.13±4.54)h、(9.41±2.36)d,差异具有统计学意义(P<0.05)。术后随访1年,实验组患者不良妊娠发生率15.63%显著低于对照组的43.75%,差异具有统计学意义(P<0.05)。实验组新生儿健康评分为(8.19±0.47)分,显著高于对照组的(5.17±0.33)分,差异具有统计学意义(t=29.748,P=0.000<0.05)。结论腹腔镜手术治疗妊娠合并卵巢良性肿瘤患者的效果及妊娠结局较好,值得推荐使用。
Objective To study the effect of laparoscopic surgery in the treatment of pregnancy with benign ovarian tumor and its impact on pregnancy outcome.Methods A total of 64 pregnant patients with benign ovarian tumor were divided into a control group and an experimental group according to the order of admission,with 32 cases in each group.The control group underwent conventional open surgery,and the experimental group underwent laparoscopic surgery.The intraoperative and postoperative conditions,pregnancy outcomes and neonatal health scores were compared between the two groups.Results The amount of intraoperative blood loss of(24.67±4.03)ml in the experimental group was less than that of(86.97±3.64)ml in the control group;the operative duration in the experimental group was(48.63±3.67)min,the postoperative exhaust time was(14.56±3.11)h,the postoperative ambulation time was(19.74±3.09)h and the hospitalization time was(6.12±0.87)d,which were all shorter than those of(74.56±9.06)min,(27.01±2.65)h,(32.13±4.54)h and(9.41±2.36)d in the control group;the differences were statistically significant(P<0.05).After 1-year followup,the incidence of adverse pregnancy in the experimental group was 15.63%,which was significantly lower than that of 43.75%in the control group,and the difference was statistically significant(P<0.05).The neonatal health score of(8.19±0.47)points in the experimental group was significantly higher than that of(5.17±0.33)points in the control group,and the difference was statistically significant(t=29.748,P=0.000<0.05).Conclusion Laparoscopic surgery in the treatment of pregnancy with benign ovarian tumor has good effect and pregnancy outcome,which is worthy of recommendation.
作者
张欣
ZHANG Xin(Fushun Mining Bureau General Hospital,Fushun 113000,China)
出处
《中国现代药物应用》
2023年第23期58-60,共3页
Chinese Journal of Modern Drug Application
关键词
腹腔镜手术
妊娠
卵巢良性肿瘤
妊娠结局
Laparoscopic surgery
Pregnancy
Benign ovarian tumor
Pregnancy outcome
