腹腔镜手术与开腹手术治疗良性卵巢囊肿临床观察.docVIP

腹腔镜手术与开腹手术治疗良性卵巢囊肿临床观察 　　[摘要] 目的 探讨腹腔镜手术与开腹手术治疗良性卵巢囊肿的临床疗效。 方法 本文选择我院2015年1月～2017年1月收治的60例良性卵巢囊肿患者作为观察对象，将其中行腹腔镜手术的患者38例设为腹腔镜组，22例行开腹手术设为对照组，观察两组的手术时间 、术中出血量、肛门排气时间、住院时间及术后并发症情况。 结果 两组患者均顺利完成手术，腹腔镜组无一例中转开腹。观察组手术时间略长于对照组，但两组手术时间组间比较差异无统计学意义（P0.05）。观察组患者的术中出血量明显少于对照组，术后肛门恢复排气时间、住院时间明显短于对照组（P0.05）。观察组患者的术后并发症发生率7.89%，明显低于对照组的术后并发症发生率45.50%（P0.05）。 结论 腹腔镜手术较开腹手术治疗良性卵巢囊肿效果更好，具有出血少、并发症少、术后恢复快等优势，值得在临床中推广。 　　[关键词] 良性卵巢囊肿；腹腔镜手术；开腹手术；并发症 　　[中图分类号] R737.3 [文献标识码] B [文章编号] 1673-9701（2018）04-0072-03 　　[Abstract] Objective To investigate the efficacy of aparoscopic surgery and laparotomy in the treatment of benign ovarian cyst. Methods 60 patients with benign ovarian cyst attended our hospital between January 2015 and January 2017 were recruited in this study. Among them 38 patients receiving laparoscopic surgery were assigned to laparoscopic group， and 22 patients recerving laparotomy were assigned to control group. The operation time， intraoperative blood loss， anal exhaust time， length of hospital stay and postoperative complications of two groups were observed. Results Operations of all cases were performed successfully， and no patients in laparoscopic group switched to laparotomy. The operation time of observation group was slightly longer than control group， but there was no significant difference in operation time between two groups（P0.05）. In the observation group， the intraoperative bleeding is significant less than that in the control group， and the recovery time for anal exhaust and the length of hospital stay was significantly shorter（P0.05）.The complication rate of observation group was 7.89%， which is significantly less than the rate of 45.50% in control group（P0.05）. Conclusion laparoscopic surgery has advantages of less bleeding， fewer complications and quicker recovery， which is more effective than laparotomy in the treatment of benign ovarian cyst. It is worthy to be popularized in clinical application. 　　[Key words] Benign ovarian cyst； Laparoscopic surg