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目的探析腹腔镜手术治疗在中期妊娠卵巢肿瘤患者中的应用效果与临床价值。方法选择南方医科大学附属深圳市妇幼保健院2010年4月-2013年10月收治的72例妊娠卵巢肿瘤患者作为研究对象,分为观察组和对照组。对照组行开腹手术切除肿瘤,观察组行腹腔镜手术治疗。比较两组手术出血量、术后住院时间;手术完成后对两组患者进行随访至分娩结束,比较妊娠结局。结果观察组术中出血量与术后住院时间分别为(35.3±8.5)ml、(3.8±0.8)d,均低于对照组,差异有统计学意义(P<0.05)。两组新生儿体重差异无统计学意义(P>0.05),观察组新生儿窒息率及早产率分别为0.0%、2.7%,低于对照组11.4%、17.1%,对比差异有统计学意义(P<0.05)。结论在中期妊娠卵巢肿瘤应用腹腔镜手术过程中明确手术指征,并密切监测孕妇血氧饱和度,可确保安全性,促进患者更快恢复,临床价值较高。
Objective To investigate the clinical effect and application value of laparoscopic surgery in patients with ovarian cancer in the second trimester of pregnancy. Methods Seventy-two patients with gestational ovarian tumor who were treated in Shenzhen Maternal and Child Health Hospital Affiliated to Southern Medical University from April 2010 to October 2013 were selected as observation group and control group. The control group underwent open surgery to remove the tumor, and the observation group underwent laparoscopic surgery. The amount of bleeding and postoperative hospital stay were compared between the two groups. After the operation was completed, the two groups of patients were followed up until the end of delivery, and the pregnancy outcomes were compared. Results The blood loss and postoperative hospital stay in the observation group were (35.3 ± 8.5) ml and (3.8 ± 0.8) days, respectively, which were lower than those in the control group (P <0.05). There was no significant difference in body weight between the two groups (P> 0.05). The rates of asphyxia and preterm birth in the observation group were 0.0% and 2.7%, respectively, which were lower than those in the control group (11.4% and 17.1%), the difference was statistically significant P <0.05). Conclusions The application of laparoscopic surgery in the second trimester of gestational age to identify the surgical indications and closely monitor the blood oxygen saturation of pregnant women can ensure the safety and promote the recovery of patients with higher clinical value.