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目的比较经阴道与经腹腔镜行良性卵巢囊肿剥除术治疗卵巢囊肿的临床效果。方法选取荆门市妇幼保健院2014—2015年收治的良性卵巢囊肿患者89例,随机分为观察组45例与对照组44例。对照组患者予以经腹腔镜行良性卵巢囊肿剥除术治疗,观察组患者予以经阴道行卵巢囊肿剥除术治疗。比较两组患者手术指标(手术时间、排气时间、首次下床活动时间、术中出血量、住院时间)、并发症发生情况。随访1年,比较两组患者复发率。结果观察组患者手术时间、排气时间、首次下床活动时间短于对照组(P<0.05);两组患者术中出血量、住院时间比较,差异无统计学意义(P>0.05)。两组患者并发症发生率比较,差异无统计学意义(P>0.05);观察组患者复发率低于对照组(P<0.05)。结论经阴道行良性卵巢囊肿剥除术治疗卵巢囊肿的临床疗效优于经腹腔镜治疗,其可更有效缩短患者的治疗时间,减少术中出血量,利于患者康复,且可降低复发率。
Objective To compare the clinical efficacy of transvaginal and laparoscopic benign ovarian cyst excision in the treatment of ovarian cysts. Methods 89 cases of benign ovarian cysts treated in Jingmen MCH from 2014 to 2015 were randomly divided into observation group (n = 45) and control group (n = 44). Patients in the control group were treated with laparoscopic benign ovarian cyst excision, and patients in the observation group were treated with transvaginal ovarian cyst excision. Comparisons were made between the two groups in terms of operation parameters (operation time, exhaust time, initial ambulation time, intraoperative blood loss, hospital stay) and complications. Followed up for 1 year, compared the recurrence rate of two groups. Results The operation time, exhaust time and time to first bed ambulation in the observation group were shorter than those in the control group (P <0.05). There was no significant difference between the two groups in the amount of blood loss and length of hospital stay (P> 0.05). There was no significant difference in the complication rates between the two groups (P> 0.05). The recurrence rate of the observation group was lower than that of the control group (P <0.05). Conclusions Transvaginal benign ovarian cyst excision for the treatment of ovarian cysts is superior to laparoscopic treatment. It can shorten the treatment time, reduce the intraoperative blood loss, facilitate the recovery and reduce the recurrence rate.