腹腔镜手术治疗卵巢囊肿并糖尿病的疗效分析
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摘要
目的探讨卵巢囊肿合并糖尿病患者采取腹腔镜手术治疗的疗效。方法选取2016年1月—2018年4月我院接收的66例卵巢囊肿合并糖尿病患者,随机分为对照组(n=33,予以开腹手术)与观察组(n=33,予以腹腔镜手术治疗),对患者的手术效果进行观察。结果相比较对照组,观察组患者手术时间、住院时间短,出血量少(P<0.05),术后两组血糖均升高,而观察组血糖较对照组低;术后,两组FSH、LH均升高,E2降低,而观察组上述指标变化较对照组更小(P<0.05)。结论中老年女性卵巢囊肿合并糖尿病采取腹腔镜手术治疗,具有创伤小、术后恢复快,对血糖及卵巢功能的影响小等优势。
Objective To discuss the efficacy of laparoscopic surgery in ovarian cyst patients with diabetes mellitus. Methods 66 ovarian cyst patients with diabetes mellitus treated from January 2016 to April 2018 in our hospital were selected. The subjects were randomly assigned to control group and observation group, 33 cases in each group. Patients were treated with laparotomy or laparoscopic surgery, respectively. The clinical effect was recorded. Results The operation time, hospitalization time and intraoperative bleeding volume in the observation group was reduced, there was significant difference(P < 0.05); after surgery, the blood glucose for two groups was increased, but the observation group had the lower blood glucose; the index of FSH(follicle-stimulating hormone) and LH(luteinizing hormone) for two groups were increased while the index of E2(estradiol) was reduced; the related index in the observation group was more stable than control group(P < 0.05). Conclusion The laparoscopic surgery is featured as less trauma, fast recovery and less impact in the blood glucose and ovarian function.
Objective To discuss the efficacy of laparoscopic surgery in ovarian cyst patients with diabetes mellitus. Methods 66 ovarian cyst patients with diabetes mellitus treated from January 2016 to April 2018 in our hospital were selected. The subjects were randomly assigned to control group and observation group, 33 cases in each group. Patients were treated with laparotomy or laparoscopic surgery, respectively. The clinical effect was recorded. Results The operation time, hospitalization time and intraoperative bleeding volume in the observation group was reduced, there was significant difference(P < 0.05); after surgery, the blood glucose for two groups was increased, but the observation group had the lower blood glucose; the index of FSH(follicle-stimulating hormone) and LH(luteinizing hormone) for two groups were increased while the index of E2(estradiol) was reduced; the related index in the observation group was more stable than control group(P < 0.05). Conclusion The laparoscopic surgery is featured as less trauma, fast recovery and less impact in the blood glucose and ovarian function.
引文
[1]胡凤林,曹雪丽.腹腔镜手术结合肾上腺素水分离法对卵巢囊肿患者性激素水平及并发症的影响[J].腹腔镜外科杂志,2017,22(11):863-866.
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[5]李翠芬,刘燕燕,韩临晓,等.腹腔镜下卵巢囊肿剔除术巧用双极电凝器的临床分析[J].广东医学,2016,37(z1):127-129.
[6]高志红.腹腔镜手术联合Gn RH-a治疗卵巢子宫内膜异位囊肿患者的临床观察[J].广西医科大学学报,2016,46(1):137-139.
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[8]王晔,林晓华,黄凌霄,等.腹腔镜手术在妊娠合并卵巢囊肿中的效果与安全性研究[J].中国内镜杂志,2014,20(8):820-823.
[9]庄玉青.腹腔镜手术与开腹手术治疗良性卵巢囊肿的临床观察[J].中国现代医生,2018,56(4):72-74.
[10]任威,郭小琴.腹腔镜手术与经阴道手术治疗对卵巢囊肿患者卵巢功能恢复的影响[J].航空航天医学杂志,2016,27(12):1561-1562.
[11]刘秀,温蒙科,刘海元,等.单孔腹腔镜与多孔腹腔镜卵巢囊肿剔除术的临床对照研究[J].中华妇产科杂志,2017,52(10):675-678.
[12]张延玲,党飞荣,刘霞.腹腔镜手术治疗中期妊娠合并卵巢囊肿的效果观察[J].医学综述,2014,20(17):3256-3257.
[2]王秋荣.腹腔镜手术和开腹手术对卵巢囊肿患者凝血功能的影响[J].血栓与止血学,2017,23(4):654-655.
[3]廖林.腹腔镜与开腹手术治疗卵巢囊肿的临床效果对比分析[J].中国急救医学,2015,35(z2):273-274.
[4]娄英.卵巢囊肿行腹腔镜手术对预后的影响观察[J].中国妇幼保健,2014,29(5):687-689.
[5]李翠芬,刘燕燕,韩临晓,等.腹腔镜下卵巢囊肿剔除术巧用双极电凝器的临床分析[J].广东医学,2016,37(z1):127-129.
[6]高志红.腹腔镜手术联合Gn RH-a治疗卵巢子宫内膜异位囊肿患者的临床观察[J].广西医科大学学报,2016,46(1):137-139.
[7]周洪友,陈丹.孕28+3周合并卵巢囊肿蒂扭转行腹腔镜手术1例报告[J].中国微创外科杂志,2015,15(9):855-856.
[8]王晔,林晓华,黄凌霄,等.腹腔镜手术在妊娠合并卵巢囊肿中的效果与安全性研究[J].中国内镜杂志,2014,20(8):820-823.
[9]庄玉青.腹腔镜手术与开腹手术治疗良性卵巢囊肿的临床观察[J].中国现代医生,2018,56(4):72-74.
[10]任威,郭小琴.腹腔镜手术与经阴道手术治疗对卵巢囊肿患者卵巢功能恢复的影响[J].航空航天医学杂志,2016,27(12):1561-1562.
[11]刘秀,温蒙科,刘海元,等.单孔腹腔镜与多孔腹腔镜卵巢囊肿剔除术的临床对照研究[J].中华妇产科杂志,2017,52(10):675-678.
[12]张延玲,党飞荣,刘霞.腹腔镜手术治疗中期妊娠合并卵巢囊肿的效果观察[J].医学综述,2014,20(17):3256-3257.