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目的观察腹腔镜下卵巢囊肿蒂扭转行保守性手术的近远期疗效。方法选取本院2009年1月-2012年12月间52例接受保守性手术的卵巢囊肿蒂扭转患者,回顾性分析术后近远期疗效和不良反应。同时选则45例健康的妇产科体检者作为对照组。结果术后患者恶心呕吐、下腹疼痛等症状获得改善;2周后侧卵巢血流恢复;4周后与健康体检者相比卵巢血流无统计学差异(P>0.05),卵巢体积、雌性激素水平、卵泡发育情况也无统计学差异(P>0.05)。除了2例患者出现腹部切口感染外,其他患者均无切口感染、下肢静脉栓塞和肺栓塞等并发症。结论腹腔镜下保守性手术治疗卵巢囊肿蒂扭转安全有效,创伤小,近期、远期疗效均十分显著,值得临床推广。
Objective To observe the short-term and long-term effects of laparoscopic surgery for ovarian cyst torsion in conservative surgery. Methods Twenty-two patients with ovarian cyst torsion undergoing conservative surgery from January 2009 to December 2012 in our hospital were retrospectively analyzed. The short-term and long-term effects and adverse reactions were analyzed retrospectively. At the same time choose 45 cases of obstetrics and gynecology as a control group. Results Postoperative nausea and vomiting, abdominal pain and other symptoms improved; ovarian blood flow recovered after 2 weeks; compared with healthy subjects after 4 weeks, there was no significant difference in ovarian blood flow (P> 0.05), ovarian volume, estrogen The level of follicular development was also no significant difference (P> 0.05). In addition to 2 patients with abdominal incision infection, other patients without incision infection, venous thrombosis and pulmonary embolism and other complications. Conclusion Laparoscopic conservative surgery for the treatment of ovarian cyst torsion safe and effective, small trauma, short-term, long-term efficacy are very significant, worthy of clinical promotion.