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目的观察腹腔镜手术治疗卵巢囊肿的临床效果,探讨其临床价值。方法本院收治的80例良性卵巢囊肿患者随机分为2组,对照组(n=40)接受经阴道囊肿剥除术治疗,观察组(n=40)采用经腹腔镜囊肿剥除术治疗,对比两组的手术相关情况、术后并发症。结果与对照组相比,观察组的手术时间(min)、术后排气时间(h)、住院天数(d)均明显优于对照组,差异有显著性(P<0.05),但两组的手术中出血量无显著性差异(P>0.05);对照组术后发热2例、手术后腹腔脏器粘连1例,并发症发生率为7.5%,观察组术后发热1例、腹腔脏器粘连1例,发生率为5.0%,两组的手术并发症发生率无显著差异(P>0.05)。结论腹腔镜手术具有缩短手术时间、加快术后恢复、缩短住院时间的优点,且不增加手术并发症发生率,腹腔镜手术有望成为治疗良性卵巢囊肿的首选术式。
Objective To observe the clinical effect of laparoscopic surgery for ovarian cysts and to explore its clinical value. Methods Eighty patients with benign ovarian cysts admitted to our hospital were randomly divided into two groups. The control group (n = 40) received vaginal cyst excision. The observation group (n = 40) was treated by laparoscopic cyst excision. Compare the two groups of surgery-related conditions, postoperative complications. Results Compared with the control group, the operation time (min), postoperative exhaust time (h) and hospitalization days (d) in the observation group were significantly better than those in the control group (P <0.05) (P> 0.05). There were 2 cases of postoperative fever in control group, 1 case of abdominal visceral adhesions after operation, the complication rate was 7.5% in observation group, 1 case of fever in observation group, In 1 case, the incidence was 5.0%. There was no significant difference in the incidence of complications between the two groups (P> 0.05). Conclusion Laparoscopic surgery has the advantages of shortening operation time, accelerating postoperative recovery and shortening hospital stay without increasing the incidence of operative complications. Laparoscopic surgery is expected to be the first choice for the treatment of benign ovarian cysts.