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目的探讨腹腔镜手术治疗小儿卵巢囊肿的临床可行性。方法 26例小儿卵巢囊肿在腹腔镜下进行剥除术与24例小儿开腹卵巢囊肿剥除术进行比较,比较两组之间手术时间、术中出血量、术后住院时间、术后肛门排气时间、切口疼痛、术中术后并发症、抗生素使用及术后复发率等。结果两组患者的手术时间差异无统计学意义(P>0.05),腹腔镜组患者术中出血量明显减少、术后肛门排气时间明显缩短、切口疼痛明显减轻、术后住院时间及抗生素使用时间缩短、无手术并发症发生,囊肿复发率及大小无差异。结论腹腔镜下小儿卵巢囊肿剥除术是一种安全、可靠、适合于临床上广泛开展应用的手术方式。
Objective To investigate the clinical feasibility of laparoscopic surgery in children with ovarian cysts. Methods Twenty-six children with ovarian cysts underwent laparoscopic resection and 24 underwent open laparotomy for ovarian cyst. The operative time, the amount of blood loss, the postoperative hospital stay, the anus row Gas time, incision pain, intraoperative and postoperative complications, antibiotic use and recurrence rate. Results There was no significant difference in operative time between the two groups (P> 0.05). The amount of bleeding during operation in laparoscopic group was significantly decreased, the time of postoperative anal exhaust was significantly shortened, the incision pain was significantly reduced, the length of postoperative hospital stay and antibiotic use Time shortened, no complications occurred, the recurrence rate and size of the cyst no difference. Conclusion laparoscopic pediatric ovarian cyst extirpation is a safe, reliable, suitable for clinical application of a wide range of surgical methods.