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目的探讨腹腔镜与开腹手术治疗卵巢囊肿患者的临床疗效。方法选取2012年1月至2015年12月东莞市东城人民医院收治的100例卵巢囊肿患者作为研究对象,采取随机数字表法将其分为对照组与观察组,每组50例。对照组患者采用开腹手术进行治疗,观察组患者行腹腔镜手术,比较两组患者手术时间、术中出血量、下床活动时间、肛门排气恢复时间、住院时间及术后疼痛程度、并发症发生情况。结果观察组患者的术中出血量明显少于对照组,术后下床活动时间、肛门排气恢复时间、住院时间均明显短于对照组,差异均有统计学意义(均P<0.05);观察组患者术后VAS评分为(2.5±1.1)分,明显低于对照组的(3.8±1.2)分,差异有统计学意义(t=5.621,P<0.05);观察组患者术后并发症发生率明显低于对照组,差异有统计学意义(χ~2=5.263,P=0.022)。结论与开腹手术相比,采用腹腔镜手术治疗卵巢囊肿临床疗效显著,可有效促进患者术后恢复,且具有较高安全性。
Objective To investigate the clinical efficacy of laparoscopic and open surgery in patients with ovarian cysts. Methods 100 patients with ovarian cysts admitted from Dongcheng People’s Hospital of Dongguan City between January 2012 and December 2015 were selected as study subjects and divided into control group and observation group with 50 cases in each group by random number table method. The patients in the control group were treated by laparotomy. The patients in the observation group underwent laparoscopic surgery. The operation time, intraoperative blood loss, ambulation time, anal exhaust recovery time, hospital stay and postoperative pain were compared between the two groups Occurrence of disease. Results The bleeding volume of the observation group was significantly less than that of the control group. The time of getting out of bed, the recovery time of anus exhaust and hospital stay were significantly shorter than those of the control group (all P <0.05). The postoperative VAS score of the observation group was (2.5 ± 1.1) points, which was significantly lower than that of the control group (3.8 ± 1.2) points (t = 5.621, P <0.05). The postoperative complications The incidence was significantly lower than the control group, the difference was statistically significant (χ ~ 2 = 5.263, P = 0.022). Conclusion Compared with open surgery, laparoscopic surgery for ovarian cysts clinical significant effect, which can effectively promote postoperative recovery, and has high safety.