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目的:探讨经阴道与经腹腔镜行良性卵巢囊肿剥除术的临床价值。方法:对62例行经阴道和58例经腹腔镜卵巢囊肿剥除术的良性卵巢囊肿患者的临床资料进行分析,比较各项指标的差异。结果:经阴道手术组(研究组)手术时间、排气时间、住院费用、与经腹腔镜手术组(对照组)比较均有显著性差异(P<0.05)。2组术中出血、术后并发症、出院后随访1月内恢复日常家务及工作者比较差异无统计学意义(P>0.05)。结论:选择合适的适应证,经阴道行良性卵巢囊肿剥除术是一种微创、符合循证医学原则的手术。
Objective: To investigate the clinical value of transvaginal and laparoscopic benign ovarian cyst excision. Methods: The clinical data of 62 cases of transvaginal and 58 cases of benign ovarian cyst by laparoscopic ovarian cyst excision were analyzed, and the differences of various indexes were compared. Results: The operation time, exhaust time and hospitalization cost in transvaginal surgery group (study group) were significantly different from those in laparoscopic surgery group (control group) (P <0.05). There was no significant difference between the two groups in intraoperative bleeding, postoperative complications, recovery of daily housework and workers within 1 month after discharge from hospital (P> 0.05). CONCLUSIONS: Choosing the appropriate indications for transvaginal benign ovarian cyst excision is a minimally invasive procedure that conforms to the principles of evidence-based medicine.