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目的比较腹腔镜手术与传统开腹手术治疗卵巢囊肿的优越性。方法 75例需手术治疗的卵巢囊肿患者随机分为2组,即腹腔镜组40例与开腹组35例。开腹组患者采用传统普通开腹手术切除卵巢囊肿,腹腔镜组患者采用腹腔镜手术治疗。记录并比较2组患者手术成功率、并发症情况,以及手术创伤程度、手术出血量、手术时间、术后住院时间等。结果 2组患者手术均获成功,腹腔镜组无中转开腹患者,且无1例出现并发症;开腹组术后发生切口感染1例;术后随访2组均未出现其他并发症。腹腔镜组与开腹组的手术创伤程度分别为(2.0±1.0)、(20.0±5.0)cm;手术出血量分别为(30.5±15.8)、(68.5±28.5)ml;手术时间分别为(45.2±8.1)、(58.1±10.1)min;术后住院时间分别为(3.5±1.3)、(7.1±2.1)d。差异均有统计学意义(P均<0.05)。结论卵巢囊肿患者采用腹腔镜手术疗效肯定,且具有显著减小创伤程度、缩短手术时间、出血量少、术后恢复快等优越性。
Objective To compare the advantages of laparoscopic surgery and traditional laparotomy in the treatment of ovarian cysts. Methods Seventy-five patients with ovarian cysts who underwent surgical treatment were randomly divided into two groups: 40 cases in laparoscopic group and 35 cases in open group. Patients in the laparotomy group were treated with conventional laparotomy and laparoscopic surgery. Record and compare the success rate of operation, complications, surgical trauma, operation bleeding, operation time and postoperative hospital stay in the two groups. Results The patients in both groups were operated successfully. There was no laparoscopic open laparotomy and no complications occurred in one group. One incision infection occurred in laparotomy group. No other complications were observed in the two groups after operation. The degree of surgical trauma in laparoscopic group and open group were (2.0 ± 1.0) and (20.0 ± 5.0) cm respectively. The amount of bleeding during operation was (30.5 ± 15.8) and (68.5 ± 28.5) ml respectively. The operative time was ± 8.1) and (58.1 ± 10.1) min respectively. The postoperative hospital stay was (3.5 ± 1.3) and (7.1 ± 2.1) days, respectively. The differences were statistically significant (all P <0.05). Conclusion Ovarian cysts in patients with laparoscopic surgery sure efficacy, and has significantly reduced the degree of trauma, shorten the operation time, less bleeding, postoperative recovery and other advantages.