改良造口引流术和传统术式治疗前庭大腺囊肿临床分析.docVIP

改良造口引流术和传统术式治疗前庭大腺囊肿临床分析 　　[摘要] 目的:观察改良造口引流术和传统术式治疗前庭大腺囊肿的疗效。方法:将我院2007年4月～2008年2月收治的49例前庭大腺囊肿患者随机分为观察组(25例)和对照组(24例),对照组采用传统术式,观察组采用改良造口引流术,比较两组患者的治疗效果。结果:两组患者的手术时间、术中出血量及复发率比较,差异均有统计学意义。结论:改良造口引流术治疗前庭大腺囊肿优于传统术式,值得临床推广应用。 　　[关键词] 前庭大腺囊肿;改良造口引流术;传统术式 　　[中图分类号] R711.7[文献标识码]A [文章编号]1673-7210(2009)07(c)-019-02 　　 　　The clinical analysis of improved drainage stoma and traditional operation in the treatment of Bartholin cyst 　　ZHENG Aihong 　　(Chaoyang District Peoples Hospital of Shantou City, Guangdong Province, Shantou 515100, China) 　　[Abstract] Objective: To investigate the clinical analysis of improved drainage stoma and traditional operation in the treatment of Bartholin cyst. Methods: From April 2007 to February 2008, 49 cases of Bartholin cyst in our hospital were randomly divided into observation group (n=25) and control group (n=24). The control group was received traditional operation, the observation group was received improved drainage stoma, then the results of two groups were compared and analyzed. Results: The differences were statistically significant in the operation time, bleeding volume and recurrence rate of the two groups. Conclusion: Improved drainage stoma in the treatment of Bartholin cyst is superior to the traditional operation, and can be generalized and applied in clinic. 　　[Key words] Bartholin cyst; Improved drainage stoma; Traditional operation 　　 　　前庭大腺囊肿(Bartholin cyst)系因前庭大腺管阻塞,分泌物积聚而成[1]。在急性炎症消退后腺管堵塞,分泌物不能排出,脓液逐渐转为清液而形成囊肿,有时腺腔内的黏液浓稠或先天性腺管狭窄致排液不畅,也可形成囊肿。若有继发感染,则形成脓肿反复发作,严重影响患者的生活。因此,探讨更好的治疗前庭大腺囊肿的方法值得关注。我院于2007年4月～2008年2月采用改良造口引流术和传统术式治疗前庭大腺囊肿并进行对照研究,现将临床资料总结如下,以期为同行提供参考。 　　1 资料与方法 　　1.1 一般资料 　　选择我院2007年4月～2008年2月收治的49例前庭大腺囊肿患者,随机分为观察组(25例)和对照组(24例)。对照组患者年龄23～46岁,平均(31.4±2.8)岁;囊肿最小2.3 cm×2.9 cm×3.1 cm,最大4.8 cm×5.1 cm×5.5 cm;病程2～6个月,平均(3.2±1.1)个月。观察组患者年龄24～45岁,平均(32.2±2.6)岁;囊肿最小2.5 cm×2.7 cm×3.0 cm,最大4.9 cm×5.0 cm×5.7 cm;病程1.5～6.0个月,平均(3.1±1.3)个月。两组患者的一般资料比较,差异均无统计学意义(P0.05),具有可比性。 　　1.2 方法 　　两组患者均于术前行常规检查,排空膀胱,取膀胱结石体位,