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目的 探讨经阴道切除卵巢良性肿瘤的可行性、手术技巧及其优点。 方法 选取有手术指征的卵巢良性肿瘤 30例为研究组 ,同期类似病例 30例为对照组 ,分别经阴道及开腹行肿瘤切除。对两组的手术时间、术中出血量、术后发热率、胃肠功能恢复时间、开始下床活动时间、住院时间、使用镇痛剂情况等指标进行比较分析。 结果 比较两组患者在手术时间上无显著性差异 (P >0 .0 5 ) ,而在术中出血量、术后发热率、胃肠功能恢复时间、开始下床活动时间、住院时间、使用镇痛剂情况等方面研究组均优于对照组 (P <0 .0 5 )。 结论 经阴道切除卵巢良性肿瘤 ,具有出血少 ,侵袭性小 ,不干扰腹腔内环境 ,术后发热率低 ,恢复快 ,住院时间短等优点 ,符合微创技术的要求 ,适宜各级医院开展。
Objective To investigate the feasibility of transvaginal resection of benign ovarian tumors, surgical techniques and their advantages. Methods Thirty patients with benign ovarian tumors were selected as the study group and 30 patients with similar symptoms as the control group. All patients underwent vaginal and open abdominal resection. The operation time, intraoperative blood loss, postoperative fever, gastrointestinal function recovery time, the time to get out of bed, hospital stay, the use of analgesics and other indicators were compared and analyzed. Results There was no significant difference in operative time between the two groups (P> 0.05), but the intraoperative blood loss, postoperative fever, gastrointestinal function recovery time, the time to get out of bed, hospital stay, Analgesics and other aspects of the study group were better than the control group (P <0. 05). Conclusion Transvaginal resection of benign ovarian tumors with less bleeding, less invasive, does not interfere with intra-abdominal environment, low postoperative fever, rapid recovery, shorter hospital stay, in line with the requirements of minimally invasive techniques, suitable for hospitals at all levels.