腹腔镜手术治疗妊娠合并卵巢囊肿的可行性和安全性及其对妊娠结局的影响评价

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Abstract ObjectiveTo study and discuss the feasibility and safety of laparoscopic surgery in the treatment of pregnancy complicated with ovarian cyst and its influence on the pregnancy outcome.MethodsFrom January 2010 to May 2016,80 cases of pregnancy patients with ovarian cyst were selected as the research object,the patients were randomly divided into two groups by taking computer single blind randomization method,the control group was given the conventional ovarian cystectomy treatment,the observation group was given laparoscopic ovarian cyst resection treatment.The operation condition and outcome were compared between two groups.ResultsOperation situation:the operation time in the observation group was significantly shorter than the control group (P＜0.05),the amount of bleeding during operation was significantly less than the control group(P＜0.05);postoperative ambulation time and exhaust time for the first time in the observation group were significantly earlier than the control group(P＜0.05);the postoperative hospital stay in the observation group was significantly shorter than the control group(P＜0.05);pain score in the observation group after surgery was significantly lower than the control group(P＜0.05);the rate of postoperative complications in the observation group was significantly lower than the control group(P＜0.05);sex hormone,luteinizing hormone,follicle stimulating hormone and estradiol glycol in the observation group after surgery were significantly increased and higher than the control group after surgery(P＜0.05).Pregnancy outcomes:the cesarean section rate in the observation group was significantly lower than that of the control group(P＜0.05),while the rate of premature delivery,the rate of miscarriage and the rate of neonatal asphyxia were compared between the observation group and the control group,there were no significant differences(P＞0.05).Conclusion For patients with ovarian cyst of pregnancy by laparoscopic ovarian cyst resection treatment is feasible,not only has less surgical trauma,faster postoperative recovery,less complications and other advantages,can effectively ensure the safety of pregnancy outcomes,avoid adverse pregnancy outcomes.

Key words： Pregnancy Ovarian cyst Enucleation of ovarian cyst Laparoscopy

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MO Jin-feng. Evaluation of the feasibility and safety of laparoscopic surgery for ovarian cysts in pregnancy and its impact on pregnancy outcome[J]. 中国当代医药, 2017, 24(19): 109-111转138.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I19/109

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