保守性和根治性手术治疗对卵巢良性肿瘤蒂扭转的疗效和术后激素水平比较

目的:观察保守性和根治性手术治疗卵巢良性肿瘤蒂扭转的有效性和安全性.方法:选取2017年2月～2020年5月间入院治疗的60例确诊为卵巢良性肿瘤蒂扭转的患者,根据患者意愿及病情发展情况分为两组,保守治疗组26例,切除治疗组34例.保守性手术组(The conservative operation group,COG)术...

The Effect of Conservative and Radical Operation on Benign Ovarian Porsion and Comparison of Postoperative Hormone Levels

ABSTRACT Objective: To observe the efficacy and safety of conservative and radical operation for the benign ovarian torsion. Methods: To observe sixty patients diagnosed as the benign ovarian torsion from February 2017~ May 2020, the patients were divided into two groups according to their wishes and the development of the disease. There were 26 cases in the conservative operation group and 34 cases in the radical operation group. The conservative operation group should be estimated the basic conditions for ovarian torsion to develop different plans by the nature of the patient''s pain. During operation, we ligate ovarian arteries and veins to avioding embolization, then resetting twisted ovarianand observing the recovery of blood flow. The cyst can be exfoliated when the recovery is close to normal. If the situation of the radical operation group cannot recover, the ovary will be cutted. The changes of serum LH, FSH, E2 were compared between the two treatments, to evaluate the secretion of ovarian hormones, and to record the incidence of other complications. Results: The ovarys were preserved successfully in the conservative treatment group, and both groups recovered well. The average operation time, intraoperative blood loss and hospital stay of the two groups were compared, and the results showed no statistical difference (P>0.05). To compare the changes of LH, FSH and E2 in the two groups when it was preoperative, postoperative 3 month, postoperative 6 month, there were no significant difference in the preoperative (P>0.05). There was no significant difference in the incidence of intraoperative complications between the two groups (P>0.05). Conclusion: In this study, the efficacy and safety of conservative operation and radical operation on the benign ovarian torsion were compared. All the 26 patients with conservative treatment had their ovaries preserved successfully, There was no significant difference in the prognosis of ovarian function and the incidence of complications, which could be used for clinical promotion.