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目的探讨在腹腔镜下进行卵巢良性肿瘤剥除术的疗效。方法将110例卵巢良性肿瘤患者,分别行腹腔镜下进行肿瘤剥除术和开腹进行肿瘤剥除术,观察两组手术效果及术中术后并发症。结果术中出血量腹腔镜组较开腹组明显减少(P<0.01);术后肛门排气时间、下床活动时间、术后平均住院时间、术后恢复工作时间腹腔镜组较开腹组明显缩短(P<0.01);术后疼痛程度腹腔镜组较开腹组明显减轻(P<0.01);术后病率腹腔镜组较开腹组低(P<0.01);术后受孕率腹腔镜组较开腹组高(P<0.05);术后盆腔粘连率腹腔镜组较开腹组低(P<0.05)。结论腹腔镜下卵巢良性肿瘤剥除术具有腹腔干扰小、术中出血少、术后恢复快、恢复工作时间早、疼痛程度轻、住院时间短、术后受孕率高、盆腔粘连少、疤痕小等优点。
Objective To investigate the efficacy of laparoscopic benign ovarian tumor removal. Methods Totally 110 patients with benign ovarian tumor were treated by laparoscopic resection of the tumor and open excision of the tumor. The operative effect and intraoperative and postoperative complications were observed. Results The amount of intraoperative blood loss in laparoscopic group was significantly lower than that in open group (P <0.01). The mean value of postoperative anal exhaust time, ambulation time, average postoperative hospital stay and postoperative recovery time were significantly higher in laparoscopic group than those in open group (P <0.01). The degree of postoperative pain in laparoscopic group was significantly lower than that in open group (P <0.01), the rate of postoperative laparoscopic group was lower than that in open group (P <0.01) (P <0.05). The rate of postoperative pelvic adhesion was lower in laparoscopic group than in open group (P <0.05). Conclusions Laparoscopic benign ovarian neoplasm has the advantages of small intra-abdominal disruption, less intraoperative bleeding, faster postoperative recovery, earlier recovery time, less pain, shorter hospital stay, higher postoperative pregnancy rate, less pelvic adhesions and less scar Etc.