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目的本文对腹腔镜手术与开腹手术两种方法治疗卵巢畸胎瘤的临床疗效进行对比分析。方法选取本院2011年1月~2012年2月收治的126例卵巢畸胎瘤患者,随机分为观察组和对照组,观察组采用腹腔镜手术治疗,对照组采用开腹手术治疗,对两组手术时间、术中出血量以及术后效果进行对比分析。结果观察组平均手术时间为(45.6±24.7)min,对照组平均手术时间为(53.4±26.3)min,观察组用时少于对照组,两组数据对比差异有统计学意义(P<0.05);观察组术中出血量为(47.2±11.5)ml,对照组术中出血量为(86.7±41.9)ml,观察组术中出血量少于对照组,两组数据对比差异有统计学意义(P<0.05);观察组术后禁食时间、肛门排气时间、术后住院时间均少于对照组,两组对比差异有统计学意义(P<0.05)。结论与传统开腹手术相比,腹腔镜手术治疗卵巢畸胎瘤手术时间短,术中出血量少,患者术后恢复较快,术后创伤小,对患者卵巢功能没有造成不良影响,是安全、有效的治疗方法 ,其优点值得临床推广。
Objective To compare the clinical efficacy of laparoscopic surgery and laparotomy in the treatment of ovarian teratoma. Methods 126 patients with ovarian teratoma admitted to our hospital from January 2011 to February 2012 were randomly divided into observation group and control group. The observation group was treated by laparoscopy and the control group by laparotomy. Group operation time, intraoperative blood loss and postoperative effects were compared. Results The average operative time in the observation group was (45.6 ± 24.7) min and in the control group was (53.4 ± 26.3) min, the observation group took less time than the control group, the difference between the two groups was statistically significant (P <0.05). The blood loss in the observation group was (47.2 ± 11.5) ml and that in the control group was (86.7 ± 41.9) ml, the intraoperative blood loss in the observation group was less than that in the control group, and the difference between the two groups was statistically significant (P <0.05). The postoperative fasting time, anal exhaust time and postoperative hospital stay in the observation group were all less than those in the control group. There was significant difference between the two groups (P <0.05). Conclusions Compared with traditional laparotomy, laparoscopic surgery for ovarian teratoma has short operation time, less intraoperative blood loss, faster postoperative recovery, less trauma and no adverse effect on ovarian function of patients, which is safe , Effective treatment, its merits deserve clinical promotion.