Open AccessComparison of ultrasound interventional and laparoscopic surgeries for ovarian cyst pediculotorsion
Author(s) -
Zhihui Cai,
Weiming Wang,
Junrong Shi,
Yijuan Liang,
You-Ju Ma,
Jinzhi Zhang
Publication year - 2016
Publication title -
journal of acute disease
Language(s) - English
Resource type - Journals
eISSN - 2589-5516
pISSN - 2221-6189
DOI - 10.1016/j.joad.2016.08.017
Subject(s) - medicine , perioperative , creatinine , blood urea nitrogen , ultrasound , ovarian cyst , surgery , laparoscopy , cyst , urology , gastroenterology , radiology
ObjectiveTo study the wound degree and ovarian function of ultrasound interventional and laparoscopic surgeries for ovarian cyst pediculotorsion.MethodsPatients with ovarian cyst pediculotorsion admitted to Affiliated Hospital of Hebei University from May 2012 to August 2015 were selected. Patients underwent emergency ultrasound interventional operation were allocated into ultrasound intervention group and patients underwent laparoscopic surgery were allocated into laparoscopic group. The patients' conditions of two groups in perioperative period were compared. Before and after operation, the serum contents of total bilirubin, albumin, creatinine, blood urea nitrogen, tumor necrosis factor-alpha (TNF-α), interleukin-1β (IL-1β) and IL-6 were measured respectively. Serum contents of follicle-stimulating hormone, luteinizing hormone and estradiol were measured at 3 months, 6 months and 12 months after operation.ResultsThe operation time of ultrasound intervention group was shorter (P < 0.05) and the medical fees of it was lower than laparoscopic group (P < 0.05), while the serum contents of total bilirubin, albumin, creatinine and blood urea nitrogen during the perioperative period of two groups had no obvious changes and differences (P > 0.05). There was no significant difference in the recurrence rate after operation (P > 0.05). There was no significant difference in the serum contents of TNF-α, IL-1β, and IL-6 before and after operation in ultrasound intervention group (P > 0.05). While in laparoscopic group, serum contents of TNF-α, IL-1β and IL-6 after operation were significantly higher than those before operation (P < 0.05). And the serum contents of TNF-α, IL-1β and IL-6 after operation in ultrasound intervention group were significantly lower than those in laparoscopic group before operation (P < 0.05). The serum contents of follicle-stimulating hormone, luteinizing hormone and estradiol between two groups were not significantly different at 3 months, 6 months and 12 months after operation (P > 0.05).ConclusionsUltrasound interventional surgery has quite the same curative effect as laparoscopic surgery in ovarian cyst pedicle pediculotorsion, which also can reduce the surgical trauma, shorten the operation time and lower the operation cost