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目的:探讨开腹手术治疗卵巢囊肿的临床应用与疗效。方法:选取2010年12月至2012年12月于我院实施开腹手术治疗的卵巢囊肿患者80例,对其临床资料进行回顾性分析,总结临床经验,为临床治疗做进一步指导。结果:经开腹手术治疗,所有患者均被治愈,治愈率达100%。手术时间(217.23±64.52)min,术中出血量(489.75±94.83)mL,肛门排气时间平均(70.25±5.56)h,下床活动时间平均(19.83±6.39)h,住院时间平均(28.86±2.17)d。经临床治疗,所有患者的泌尿道症状及神经功能失调症状评分均明显下降,且性生活质量评分明显升高,差异显著(P<0.05),有统计学意义。术后,发生并发症11例,发生率为13.75%,其中发热4例,切口疝2例,尿潴留1例,切口2次缝合1例,淋巴囊肿1例。结论:开腹手术治疗卵巢囊肿可有效改善患者的临床症状,提高其生存质量,术后并发症少,疗效确切,安全可靠,值得临床推广。
Objective: To explore the clinical application and curative effect of laparotomy for ovarian cyst. Methods: From December 2010 to December 2012, 80 patients with ovarian cyst undergoing laparotomy in our hospital were selected. The clinical data of the patients were retrospectively analyzed. Clinical experience was summarized and further guidance was given for clinical treatment. Results: All the patients were cured by laparotomy and the cure rate was 100%. The mean operative time (217.23 ± 64.52) min, intraoperative blood loss (489.75 ± 94.83) mL, anal exhaust time (70.25 ± 5.56) h, time to bed ambulation (19.83 ± 6.39) h, average length of hospital stay (28.86 ± 2.17) d. After clinical treatment, the score of urinary tract symptoms and neurological dysfunction in all patients were significantly decreased, and the quality of life scores were significantly increased, the difference was significant (P <0.05), with statistical significance. Postoperative complications occurred in 11 cases, the incidence was 13.75%, of which 4 cases of fever, incisional hernia in 2 cases, urinary retention in 1 case, incision 2 times in 1 case, 1 case of lymphatic cyst. Conclusion: Open surgery for ovarian cysts can effectively improve the clinical symptoms, improve the quality of life, fewer postoperative complications, effective, safe and reliable, worthy of clinical promotion.