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目的:探讨腹腔镜与开腹手术治疗盆腔假性囊肿的临床效果。方法:30例盆腔假性囊肿患者采用随机数字法平均分为两组,A组患者给予腹腔镜治疗;B组患者给予开腹手术治疗。观察患者的手术失血量、手术时间、住院时间,并随访1年观察术后复发情况等。结果:两组患者的术后复发率分别为13.3%VS 20.0%,差异比较无统计学意义(P>0.05);A组(腹腔镜组)患者的手术失血量、手术时间、住院时间均明显低于B组(开腹组)患者,且术后发生疼痛及术后复发的患者明显少于B组(开腹组)患者,差异有统计学意义(P<0.05)。结论:对盆腔假性囊肿行腹腔镜或开腹手术治疗,疗效比较确切,术后复发率比较低,但腹腔镜治疗患者的手术失血量、手术时间、住院时间及术后并发症发生率均明显低于开腹组患者,对患者创伤小,值得临床推广应用。
Objective: To investigate the clinical effect of laparoscopic and open surgery for pelvic pseudocyst. Methods: 30 cases of pelvic pseudocyst were randomly divided into two groups by random number method. Patients in group A were treated by laparoscopy. Patients in group B were treated by laparotomy. Observe the operation of patients with blood loss, operation time, hospital stay, and follow-up 1-year follow-up observation of recurrence and so on. Results: The recurrence rates of the two groups were 13.3% VS 20.0%, respectively, with no significant difference (P> 0.05). The blood loss, operation time and hospital stay of group A (laparoscopic group) Patients in group B (open group) were significantly less than those in group B (open group), and the difference was statistically significant (P <0.05). Conclusions: Laparoscopic or open laparoscopic pelvic pseudocyst surgery has definite curative effect and low postoperative recurrence rate. However, the operation blood loss, operation time, hospitalization time and postoperative complication rate of patients undergoing laparoscopy are both Obviously lower than the open group of patients, small trauma patients, it is worth clinical application.