腹腔镜与开腹两种手术方法治疗卵巢囊肿的临床疗效对比分析.docVIP

精品论文 参考文献 腹腔镜与开腹两种手术方法治疗卵巢囊肿的临床疗效对比分析 施红 　　（南通市第四人民医院 江苏 南通 226000） 　　【摘要】 目的：研讨卵巢囊肿患者运用腹腔镜与开腹两种手术方法治疗的适用性与安全性。方法：选取80例符合标准的卵巢囊肿病例进行分组研究，Ⅰ组40例接受开腹手术剥除囊肿，Ⅱ组40例接受腹腔镜手术治疗，评估该两种手术方案的治疗效果。结果：①Ⅱ组在手术操作时间、术后排气时间及平均住院日上相比Ⅰ组均显著缩短，在术中出血量也有显著减少，有统计学意义（P＜0.05）。②两组在围术期间均有并发症发生，Ⅱ组发生率占5.0%，相比Ⅰ组的20.0%显著下降，有统计学意义（P＜0.05）。③术后半年随访，两组的E2、LH等激素水平比较基本相当，无统计学意义（P＞0.05）。结论：对卵巢囊肿患者行腹腔镜剥除囊肿，手术较传统开腹术创伤小、恢复快、安全性高，且可避免影响卵巢功能，有较高的可行性。 　　【关键词】卵巢囊肿；腹腔镜；开腹；适用性；安全性 　　【中图分类号】R713 【文献标识码】A 【文章编号】2095-1752（2016）14-0155-02 　　Comparative analysis of the clinical effect of laparoscopic and open surgery in the treatment of ovarian cysts: a comparative analysis of two methods 　　【Abstract】Objective To study the applicability and safety of laparoscopic surgery and open surgery for the treatment of two patients with ovarian cyst. Method A total of 80 cases in accordance with the standard of ovarian cyst were grouped and studied, I group of 40 cases of laparotomy stripping cyst undergone from group II 40 cases underwent laparoscopic surgery to assess therapeutic effect of the two kinds of operation plan. Results The operation time, postoperative exhaust time and average hospitalization days were significantly shorter than that in group I, and there was a significant reduction in the amount of bleeding during the operation, which was statistically significant (P lt; 0.05). During the perioperative period, the incidence of complications occurred in the two groups, the incidence of group II was 5%, and the 20% was significantly decreased compared with the first group, and there was statistical significance (P lt; 0.05). Conclusion Laparoscopic removal of cyst in patients with ovarian cyst, and can avoid the impact of ovarian function, there is a high feasibility. 　　【Key words】Ovarian cysts; Laparoscopy; Laparotomy;Applicability; Safety 　　卵巢囊肿是目前临床的常见病之一，多见于20～50岁妇女，且病变程度高，患者多有月经紊乱、痛经甚至不孕等情况，对其身心健康造成了极大影响。卵巢囊肿剥离术由于能够在尽量避免损伤卵巢功能的情况下将病灶切除，近年已被广泛应用于临床，至于是经腹腔镜手术或是经腹手术，现阶段医学界仍