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目的探讨腹腔镜手术治疗卵巢良性肿瘤的临床效果及预后。方法将100例卵巢良性肿瘤患者根据治疗方法的不同分为观察组(50例)和对照组(50例),两组均在气管内麻醉下行肿瘤剔除术,观察组患者采用腹腔镜下手术治疗,对照组患者采用传统开腹手术治疗。结果两组患者都顺利完成手术,观察组患者无中转开腹,同时观察组患者的手术时间、肛门排气时间、住院时间均比对照组明显缩短(P<0.05)。两组患者手术前CD69与CD30表达对比无明显差异,治疗后对照组较观察组有明显增高(P<0.05)。两组患者手术前性激素水平比较差异无统计学意义(P<0.05),术后两组均出现雌二醇(E2)水平降低,促卵泡生成激素(FSH)和促黄体生成素(LH)水平升高(P<0.05),两组患者血睾酮(T)和孕酮(P)在手术前后均差异无统计学意义(P<0.05),组间对比差异均无统计学意义。观察组患者随访妊娠率明显高于对照组。结论腹腔镜手术治疗卵巢良性肿瘤预后更好,值得临床推广应用。
Objective To investigate the clinical effect and prognosis of laparoscopic surgery for benign ovarian tumors. Methods 100 cases of benign ovarian tumors were divided into observation group (50 cases) and control group (50 cases) according to the different treatment methods. Both groups underwent intratracheal intratracheal intratracheal resection and the observation group received laparoscopic surgery Patients in the control group were treated with conventional laparotomy. Results The patients in both groups were successfully performed the operation. The patients in the observation group had no laparotomy. The operation time, anus discharge time and hospital stay in the observation group were significantly shorter than those in the control group (P <0.05). There was no significant difference between the two groups in the expression of CD69 and CD30 before operation, but the control group was significantly higher than the observation group after treatment (P <0.05). There was no significant difference in the levels of sex hormones between the two groups before surgery (P <0.05). The levels of estradiol (E2), follicle stimulating hormone (FSH) and luteinizing hormone (LH) (P <0.05). There were no significant differences in serum testosterone (T) and progesterone (P) between the two groups before and after operation (P <0.05). There was no significant difference between the two groups. The follow-up pregnancy rate in the observation group was significantly higher than that in the control group. Conclusions Laparoscopic surgery for the treatment of benign ovarian tumors has a better prognosis and is worthy of clinical application.