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目的探讨腹腔镜下囊肿剥除术对妊娠12-20周合并卵巢囊肿患者的临床效果。方法将18例妊娠12-20周合并卵巢囊肿的患者随机分为两组各9例。观察组在腹腔镜下行囊肿剥除术,对照组行开腹卵巢囊肿切除术,比较两组手术时间、术中出血量、住院时间等。结果观察组手术时间、术中出血量、住院时间、导尿管停留时间等优于对照组,术后先兆流产和完全流产的发生人数少于对照组,差异有统计学意义(P<0.05)。两组患者均无不良反应且发生先兆流产的患者经治疗后顺利保胎。结论腹腔镜下行囊肿剥除术具有术后恢复快、并发症少、妊娠率高的优点,有一定的临床应用效果。
Objective To investigate the clinical effect of laparoscopic cyst excision for patients with ovarian cyst between 12-20 weeks gestation. Methods Eighteen pregnancies with ovarian cysts between 12-20 weeks gestation were randomly divided into two groups (n = 9). The observation group underwent laparoscopic cyst excision and the control group underwent open ovarian cyst resection. The operation time, intraoperative blood loss and hospital stay were compared between the two groups. Results The operation time, intraoperative blood loss, hospital stay and urinary catheter stay in the observation group were better than those in the control group. The number of threatened abortion and complete abortion in the observation group was less than that in the control group (P <0.05) . Two groups of patients without adverse reactions and the occurrence of threatened abortion patients after treatment smooth miscarriage. Conclusions Laparoscopic cyst excision has the advantages of quick recovery, less complications and high pregnancy rate, and has some clinical application effects.