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目的探讨腹腔镜与开腹手术在治疗卵巢囊肿中的临床应用。方法回顾性分析2009年3月-2012年1月入我院治疗的48例卵巢囊肿患者的临床资料,根据治疗方式不同分为治疗组和对照组,其中治疗组采用腹腔镜手术治疗,对照组并采用开腹手术治疗,比较两组患者的手术时间、术中出血量、肛门排气时间和术后住院天数以及并发症发生情况。结果治疗组患者的平均手术时间、术中平均出血量、肛门排气时间、平均住院时间均显著低于对照组(P<0.05);治疗组的发生并发症的患者共2例,占7.69%,对照组患者发生并发症4例,占18.18%,两组总并发症发生率具有显著差异(P<0.05)。结论在腹腔镜下行卵巢囊肿切除手术创伤性小、手术时间短、术中出血量少、术后恢复快、住院时间短,且并发症发生率较低,是治疗卵巢囊肿的有效治疗方式。
Objective To investigate the clinical application of laparoscopy and laparotomy in the treatment of ovarian cysts. Methods The clinical data of 48 patients with ovarian cyst treated in our hospital from March 2009 to January 2012 were retrospectively analyzed. According to the different treatment methods, the patients were divided into treatment group and control group, in which the treatment group was treated by laparoscopy and the control group The patients underwent open surgery. The operation time, intraoperative blood loss, anal exhaust time, postoperative hospital stay and complication were compared between the two groups. Results The mean operation time, mean intraoperative blood loss, anal exhaust time and average length of hospital stay in the treatment group were significantly lower than those in the control group (P <0.05). The incidence of complications in the treatment group was 2 cases (7.69% In the control group, 4 patients (18.18%) had complications, and the total complication rate was significantly different between the two groups (P <0.05). Conclusions Laparoscopic ovarian cyst resection is a effective treatment for ovarian cysts because it is less traumatic, shorter operative time, less intraoperative blood loss, faster postoperative recovery, shorter hospital stay, and lower complication rate.