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目的探讨妊娠合并卵巢肿瘤的临床诊断方法及治疗价值。方法选取本院自2011年1月~2013年1月收治的70例妊娠合并卵巢肿瘤患者,随机分为观察组与参考组,各为35例,两组患者均采用腹腔镜进行诊断,观察组患者采用腹腔镜手术治疗,参考组患者采用传统开腹手术治疗,比较两组患者治疗情况、术后并发症及分娩结局。结果观察组患者手术时间、术中出血量均明显少于参考组(P<0.05);观察组患者术后并发症及平均住院时间均明显短于参考组(P<0.05);两组患者妊娠结局比较差异无统计学意义(P>0.05)。结论通过腹腔镜明确诊断对于临床治疗有着重要作用,腹腔镜手术治疗损伤小且术后患者愈合良好,妊娠结局良好,可推广使用。
Objective To investigate the clinical diagnosis and treatment value of pregnancy complicated with ovarian tumors. Methods Seventy patients with pregnancy-associated ovarian tumor who were admitted to our hospital from January 2011 to January 2013 were randomly divided into observation group and reference group, each of 35 patients. Both groups were diagnosed by laparoscopy and the observation group The patients underwent laparoscopic surgery. The patients in the reference group were treated by traditional laparotomy. The treatment, complications and delivery outcomes were compared between the two groups. Results The operation time and intraoperative blood loss in the observation group were significantly less than those in the reference group (P <0.05). The postoperative complications and the average length of stay in the observation group were significantly shorter than those in the reference group (P <0.05) The difference was not statistically significant (P> 0.05). Conclusions Laparoscopic diagnosis has an important role in clinical treatment. Laparoscopic surgery has the advantages of small injury and good postoperative healing. The pregnancy outcome is good and can be used widely.