58例腹腔镜手术治疗糖尿病伴发卵巢囊肿的疗效探讨(1)
[摘要] 目的 对腹腔镜手术治疗糖尿病伴发卵巢囊肿的疗效进行分析与探讨。方法 随机选择2017年10月—2018年10月在该院就诊的58例糖尿病伴发卵巢囊肿患者作为研究对象，随机将其分为对照组与观察组两组，每组患者29例。其中，对观察组实施腹腔镜手术治疗，对对照组则实施常规开腹手术治疗。对两组患者的出血量、血糖水平与需用胰岛素控制病情的情况进行比较。 结果 观察组患者的术中出血量以及术后即时血糖水平都要大大小于对照组，并且需要使用胰岛素控制病情的患者数量也比对照组要少，差异有统计学意义(P<0.05)。 结论 采用腹腔镜手术治疗糖尿病伴发卵巢囊肿疗效显著，可有效减少对患者卵巢功能的损伤，所以值得在临床上推广与应用。
[关键词] 糖尿病伴发卵巢囊肿;腹腔镜手术;治疗;疗效;分析
[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062(2019)04(b)-0039-02
[Abstract] Objective To analyze and discuss the efficacy of laparoscopic surgery for diabetic ovarian cysts. Methods A total of 58 patients with ovarian cysts who were admitted to our hospital from October 2017 to October 2018 were randomly selected as the study subjects. They were randomly divided into control group and observation group， with 29 patients in each group. Among them， the observation group was treated with laparoscopic surgery， and the control group was treated with conventional open surgery. The bleeding volume and blood glucose level of the two groups of patients were compared with those requiring insulin control. Results The intraoperative blood loss and the immediate blood glucose level in the observation group were significantly lower than those in the control group， and the number of patients who needed insulin to control the disease was also less than that in the control group. The differences were statistically significant(P<0.05). Conclusion Laparoscopic surgery for the treatment of ovarian cysts with diabetes is effective， which can effectively reduce the damage of ovarian function in patients， so it is worthy of clinical promotion and application.
[Key words] Diabetes with ovarian cysts; Laparoscopic surgery; Treatment; Efficacy; Analysis
结合实践来看，作为妇科中常见疾病种类，卵巢囊肿临床上主要采取腹腔镜手术方法开展治疗，并且经众多实践表明取得了不错的成效。然而并非所有卵巢囊肿患者都适合采取腹腔镜手术进行治疗，在此之中伴有糖尿病的患者便是代表之一。这主要是因为对糖尿病伴发卵巢囊肿患者而言，腹腔镜手术会导致组织出现创伤，这样一来往往会在术后造成她们能量代谢紊乱，继而致使患者病情复杂性大大增加。所以针对糖尿病伴发卵巢囊肿患者临床治疗上采用腹腔镜手术在近些年成为了医学界研究重点。对此，下文通过从2017年10月—2018年10月在该院就诊糖尿病伴发卵巢囊肿患者中随机选择58例作为研究对象，并利用数表法将她们平均分为对照组与观察组两组，进行分组治疗。对观察组实施腹腔镜手术治疗，对照组则实施常规开腹手术治疗对治疗组患者予以腹腔镜手术治疗，之后对两组患者出血量、血糖水平与需用胰岛素控制病情的情况进行比较，以此判断哪种治疗方法更优，现报道如下。
1 资料与方法
1.1 一般资料
随机选择在该院就诊的58例糖尿病伴发卵巢囊肿患者作为研究对象，全部患者都符合糖尿病诊断：OGTT2 h≥11.1 mmol/L或空腹血糖≥7.0 mmol/L。随机将其分为对照组与观察组两组，每组患者29例。其中观察组患者年齡20～47岁，有17例患者患有巧克力囊肿，10例患者患有单纯性浆液囊腺瘤，2例患者患有良性畸胎瘤。在对照组中患者年龄22～46岁，有14例患者患有巧克力囊肿，11例患者患有单纯性浆液囊腺瘤，4例患者患有良性畸胎瘤。两组患者的一般资料差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(朱越 韩丹阳 刘立鹏)
[关键词] 糖尿病伴发卵巢囊肿;腹腔镜手术;治疗;疗效;分析
[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062(2019)04(b)-0039-02
[Abstract] Objective To analyze and discuss the efficacy of laparoscopic surgery for diabetic ovarian cysts. Methods A total of 58 patients with ovarian cysts who were admitted to our hospital from October 2017 to October 2018 were randomly selected as the study subjects. They were randomly divided into control group and observation group， with 29 patients in each group. Among them， the observation group was treated with laparoscopic surgery， and the control group was treated with conventional open surgery. The bleeding volume and blood glucose level of the two groups of patients were compared with those requiring insulin control. Results The intraoperative blood loss and the immediate blood glucose level in the observation group were significantly lower than those in the control group， and the number of patients who needed insulin to control the disease was also less than that in the control group. The differences were statistically significant(P<0.05). Conclusion Laparoscopic surgery for the treatment of ovarian cysts with diabetes is effective， which can effectively reduce the damage of ovarian function in patients， so it is worthy of clinical promotion and application.
[Key words] Diabetes with ovarian cysts; Laparoscopic surgery; Treatment; Efficacy; Analysis
结合实践来看，作为妇科中常见疾病种类，卵巢囊肿临床上主要采取腹腔镜手术方法开展治疗，并且经众多实践表明取得了不错的成效。然而并非所有卵巢囊肿患者都适合采取腹腔镜手术进行治疗，在此之中伴有糖尿病的患者便是代表之一。这主要是因为对糖尿病伴发卵巢囊肿患者而言，腹腔镜手术会导致组织出现创伤，这样一来往往会在术后造成她们能量代谢紊乱，继而致使患者病情复杂性大大增加。所以针对糖尿病伴发卵巢囊肿患者临床治疗上采用腹腔镜手术在近些年成为了医学界研究重点。对此，下文通过从2017年10月—2018年10月在该院就诊糖尿病伴发卵巢囊肿患者中随机选择58例作为研究对象，并利用数表法将她们平均分为对照组与观察组两组，进行分组治疗。对观察组实施腹腔镜手术治疗，对照组则实施常规开腹手术治疗对治疗组患者予以腹腔镜手术治疗，之后对两组患者出血量、血糖水平与需用胰岛素控制病情的情况进行比较，以此判断哪种治疗方法更优，现报道如下。
1 资料与方法
1.1 一般资料
随机选择在该院就诊的58例糖尿病伴发卵巢囊肿患者作为研究对象，全部患者都符合糖尿病诊断：OGTT2 h≥11.1 mmol/L或空腹血糖≥7.0 mmol/L。随机将其分为对照组与观察组两组，每组患者29例。其中观察组患者年齡20～47岁，有17例患者患有巧克力囊肿，10例患者患有单纯性浆液囊腺瘤，2例患者患有良性畸胎瘤。在对照组中患者年龄22～46岁，有14例患者患有巧克力囊肿，11例患者患有单纯性浆液囊腺瘤，4例患者患有良性畸胎瘤。两组患者的一般资料差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(朱越 韩丹阳 刘立鹏)