交界性卵巢肿瘤保留生育功能手术的临床研究

发布时间：2018-02-03 06:57

本文关键词： 交界性卵巢肿瘤保留生育功能手术腹腔镜手术生育力　出处：《生殖医学杂志》2016年04期 　论文类型：期刊论文

【摘要】：目的回顾性分析交界性卵巢肿瘤保留生育功能手术,比较腹腔镜手术与开腹手术对卵巢生育功能及疾病预后的影响。方法收集襄阳市中心医院2008年1月1日至2013年12月31日予保留生育功能手术治疗的交界性卵巢肿瘤患者52例,分为开腹组27例、腹腔镜组25例。比较两组患者手术前后月经及生育情况、术后复发情况。结果术后总妊娠率56.5%,腹腔镜组高于开腹组(70.8%vs.40.9%,P0.05);总体复发率9.6%,两组差异无统计学意义(P0.05)。但是与开腹手术组相比,腹腔镜组术中出血量少[(342.0±60.9)vs.(422.0±69.8)ml,P0.05)]、手术时间短[(222.0±11.9)vs.(245.9±12.8)min,P0.05]、术后胃肠道功能恢复快[(26.3±7.5)vs.(41.6±6.4)h,P0.05]、合并感染少(8.0%vs.29.6%,P0.05)、住院时间短[(7.2±0.5)vs.(7.9±1.0)d,P0.05]。结论在交界性卵巢肿瘤保留生育功能手术中,腹腔镜手术与传统开腹手术相比具有同样的有效性和安全性,但腹腔镜手术术中出血量及术后并发症少、住院时间短、术后患者恢复快,更重要的是能更好的保留交界性卵巢肿瘤患者的生育力。
[Abstract]:Objective to retrospectively analyze the operation of preserving fertility function in borderline ovarian tumors. To compare the effects of laparoscopic surgery and open surgery on ovarian fertility and prognosis of diseases. Methods Xiangyang City Hospital from January 1st 2008 to December 31st 2013 to preserve fertility function surgery. 52 cases of borderline ovarian tumors were treated. Two groups were divided into laparotomy group (n = 27) and laparoscopy group (n = 25). The menstruation, fertility and recurrence of the two groups were compared before and after operation. Results the total pregnancy rate was 56.5%. The laparoscopy group was higher than the open group (70.8% vs 40.9%, P 0.05). The overall recurrence rate was 9.6, and there was no significant difference between the two groups (P 0.05). However, compared with the open operation group, the volume of intraoperative bleeding in the laparoscopic group was less than that in the laparoscopy group. [The time of operation was short (342.0 卤60.9vs.422.0 卤69.8ml / ml P0.05). [The gastrointestinal function recovered quickly after operation (P 0.05). [26.3 卤7.5 / vs.41.6 卤6.4 / h / h respectively, with less infection, 8.0vs.29.6a / P 0.05, and shorter hospitalization time. [Conclusion\\\ conclusion\\\. Laparoscopic surgery has the same efficacy and safety as traditional open surgery, but laparoscopic surgery has less blood loss and postoperative complications, shorter hospital stay and faster recovery. More importantly, it can better preserve fertility in patients with borderline ovarian tumors.
【作者单位】：武汉大学人民医院生殖医学中心;湖北省襄阳市中心医院妇产科;
【基金】：2013湖北省卫计委面上项目(JX6B105) 2015湖北省卫计委重点项目(WJ2015MA024)
【分类号】：R737.31
【正文快照】： Results:Total postoperative pregnancy rate was 56.5%.The laparoscopic postoperative pregnancyrate was significantly higher than laparotomy group(70.8%vs.40.9%,P0.05).Total recurrence ratewas 9.6%,and the difference between two group was not significant(

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