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目的探讨腹腔镜结合口服桂枝茯苓胶囊、生化汤丸和开腹手术各自在卵巢囊肿治疗中的临床应用价值。方法回顾分析对比腹腔镜下卵巢囊肿手术结合口服桂枝茯苓胶囊、生化汤丸治疗和开腹手术治疗卵巢囊肿各42例的临床疗效。结果腹腔镜组手术时间与开腹手术组比较差异无统计学意义(P>0.05),腹腔镜组术中出血量少于开腹手术组(P<0.05),腹腔镜组术后留置尿管时间、术后排气时间、术后住院时间均短于开腹组(P<0.05),腹腔镜组手术费用、麻醉费用和住院总费用均高于开腹组(P<0.05)。腹腔镜组术后康复效果良好。结论腹腔镜卵巢囊肿剥除术适用于各种卵巢良性肿瘤,具有手术简单、手术创伤小、术后痛苦少、恢复快等优点,结合口服桂枝茯苓胶囊、生化汤丸,患者术后康复效果良好。
Objective To investigate the clinical value of laparoscopy combined with oral Guizhi Fuling capsule, biochemical soup pills and laparotomy in the treatment of ovarian cysts. Methods The clinical efficacy of laparoscopic ovarian cyst surgery combined with oral administration of Guizhi Fuling capsule, biochemical soup pill and laparotomy in treating 42 cases of ovarian cysts was retrospectively analyzed. Results There was no significant difference between laparoscopic surgery group and laparotomy group (P> 0.05). Laparoscopic surgery group had less bleeding than laparotomy group (P <0.05) Time, postoperative exhaust time and postoperative hospital stay were shorter than those in open group (P <0.05). Laparoscopic operation cost, anesthesia cost and total cost of hospitalization were higher than those in open group (P <0.05). Laparoscopic group postoperative rehabilitation effect is good. Conclusions Laparoscopic ovarian cyst stripping is suitable for all kinds of benign ovarian tumors. It has the advantages of simple operation, less trauma, less postoperative pain and quick recovery. Combined with oral Guizhi Fuling capsule and Shenghua Tang pill, the postoperative rehabilitation effect good.