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目的对比分析传统开腹手术及腹腔镜手术治疗卵巢子宫内膜异位囊肿患者疗效。方法选取2009年6月-2012年6月收治卵巢子宫内膜异位囊肿患者100例作为研究对象,按照随机数表法随机分成观察组和对照组,每组50例。观察组给予腹腔镜手术治疗,对照组给予开腹手术治疗,对比两组患者手术时间、术中出血量、住院时间、肛门排气时间、术后并发症等方面指标。采用SPSS 15.0统计学软件进行数据处理和分析,计量资料采用t检验,计数资料采用χ2检验。P<0.05为差异有统计学意义。结果观察组患者手术时间、术中出血量、住院时间、肛门排气时间等明显优于对照组患者,组间对比差异有统计学意义(均P<0.05)。观察组患者术后并发症发生率为2%,对照组术后并发症发生率为18%,组间对比,差异具有统计学意义(均P<0.05)。结论腹腔镜手术治疗子宫内膜异位囊肿具有术后并发症少、安全可靠、术中出血量少、创伤少、术后恢复较快、患者恢复时间短等方面优点,值得在临床上推广应用。
Objective To comparatively analyze the curative effect of traditional laparotomy and laparoscopic surgery on patients with ovarian endometriosis. Methods A total of 100 patients with ovarian endometriosis from June 2009 to June 2012 were selected as study subjects and randomly divided into observation group and control group according to the random number table method, with 50 cases in each group. The observation group was given laparoscopic surgery and the control group was given laparotomy. The operation time, intraoperative blood loss, hospitalization time, anal exhaust time and postoperative complications were compared between the two groups. Using SPSS 15.0 statistical software for data processing and analysis, measurement data using t test, count data using χ2 test. P <0.05 for the difference was statistically significant. Results The operation time, intraoperative blood loss, hospital stay, anal exhaust time in the observation group were significantly better than those in the control group. There was significant difference between the two groups (all P <0.05). The incidence of postoperative complications in the observation group was 2%, while that in the control group was 18%. The differences between the two groups were statistically significant (P <0.05). Conclusions Laparoscopic surgery for endometriotic cyst has the advantages of less postoperative complications, safe and reliable, less intraoperative blood loss, less trauma, faster postoperative recovery and shorter recovery time, which is worth popularizing in clinic .