腹腔镜与开腹手术治疗良性卵巢囊肿的临床效果对比(1)
摘 要：目的 探讨采用腹腔镜与开腹手术治疗良性卵巢囊肿的临床疗效。方法 选取2012年6月～2018年8月在我院接受手术的60例良性卵巢囊肿剥除术患者，随机分为参照组和研究组，每组30例。参照组运用传统开腹手术治疗，研究组采用腹腔镜手术治疗，比较两组手术时间、手术出血量、肛门排气时间、住院时间以及并发症发生率。结果 研究组手术时间、手术出血量、肛门排气时间和住院时间分别为(77.29±9.84)min、(62.84±5.92)ml、(25.91±4.28)h 和(5.28±1.17)d，均优于参照组的(91.52±12.85)min、(102.75±12.49)ml、(39.07±6.24)h和(8.03±1.73)d，差异具有统计学意义(P<0.05)。研究组术后并发症发生率为6.00%，低于参照组的20.00%，差异具有统计学意义(P<0.05)。结论 采用腹腔镜与开腹手术治疗良性卵巢囊肿均可以达到良好的临床疗效，但是腹腔镜手术较开腹手术创伤更小，并发症更少，患者整体恢复情况更为理想。
关键词：良性;卵巢囊肿;腹腔镜;开腹手术
, 百拇医药
中图分类号：R713.6 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.24.025
文章编号：1006-1959(2018)24-0093-03
Abstract：Objective To explore the clinical efficacy of laparoscopic and open surgery for benign ovarian cysts. Methods 60 patients with benign ovarian cystectomy who underwent surgery from June 2012 to August 2018 were randomly divided into a reference group and a study group， 30 in each group. The reference group was treated with conventional open surgery. The study group was treated with laparoscopic surgery. The operation time， the amount of surgical bleeding， the time of anal exhaust， the length of hospital stay， and the incidence of complications were compared between the two groups. Results The operation time， surgical bleeding volume， anal exhaust time and hospitalization time of the study group were (77.29±9.84) min， (62.84±5.92) ml， (25.91±4.28) h and (5.28±1.17) d， respectively.They were superior to the reference group (91.52±12.85) min， (102.75±12.49) ml， (39.07±6.24) h and (8.03±1.73) d，the difference was statistically significant (P<0.05). The postoperative complication rate was 6.00% in the study group， which was lower than the 20.00% in the reference group. The difference was statistically significant (P<0.05). Conclusion Laparoscopic and open surgery for benign ovarian cysts can achieve good clinical results， but laparoscopic surgery has less trauma and less complications than open surgery， and the overall recovery is more ideal.
Key words：Benign;Ovarian cyst;Laparoscopic;Open surgery
良性卵巢囊腫(benign ovarian cyst)是临床常见妇科疾病，任何年龄段的女性都可能发病。临床检查常在小腹部单侧或双侧触及肿块，肿块呈球形，表面光滑，伴或不伴性交疼痛，严重者会引发不孕，甚至发生囊肿蒂扭转和破裂等急腹症[1]。该疾病治疗过去多采用开腹卵巢囊肿剥除术，治疗创伤大，并发症多[2]。近些年随着微创技术的普及，腔镜在妇科疾病中的推广应用，良性卵巢囊肿采用腹腔镜技术治疗，被越来越多的患者所认可。本文选取我院收治的60例卵巢囊肿剥除术患者，对比采用腹腔镜与开腹方式治疗良性卵巢囊肿的临床疗效，现报道如下。, 百拇医药(董俊清 黄菊红)
关键词：良性;卵巢囊肿;腹腔镜;开腹手术
, 百拇医药
中图分类号：R713.6 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.24.025
文章编号：1006-1959(2018)24-0093-03
Abstract：Objective To explore the clinical efficacy of laparoscopic and open surgery for benign ovarian cysts. Methods 60 patients with benign ovarian cystectomy who underwent surgery from June 2012 to August 2018 were randomly divided into a reference group and a study group， 30 in each group. The reference group was treated with conventional open surgery. The study group was treated with laparoscopic surgery. The operation time， the amount of surgical bleeding， the time of anal exhaust， the length of hospital stay， and the incidence of complications were compared between the two groups. Results The operation time， surgical bleeding volume， anal exhaust time and hospitalization time of the study group were (77.29±9.84) min， (62.84±5.92) ml， (25.91±4.28) h and (5.28±1.17) d， respectively.They were superior to the reference group (91.52±12.85) min， (102.75±12.49) ml， (39.07±6.24) h and (8.03±1.73) d，the difference was statistically significant (P<0.05). The postoperative complication rate was 6.00% in the study group， which was lower than the 20.00% in the reference group. The difference was statistically significant (P<0.05). Conclusion Laparoscopic and open surgery for benign ovarian cysts can achieve good clinical results， but laparoscopic surgery has less trauma and less complications than open surgery， and the overall recovery is more ideal.
Key words：Benign;Ovarian cyst;Laparoscopic;Open surgery
良性卵巢囊腫(benign ovarian cyst)是临床常见妇科疾病，任何年龄段的女性都可能发病。临床检查常在小腹部单侧或双侧触及肿块，肿块呈球形，表面光滑，伴或不伴性交疼痛，严重者会引发不孕，甚至发生囊肿蒂扭转和破裂等急腹症[1]。该疾病治疗过去多采用开腹卵巢囊肿剥除术，治疗创伤大，并发症多[2]。近些年随着微创技术的普及，腔镜在妇科疾病中的推广应用，良性卵巢囊肿采用腹腔镜技术治疗，被越来越多的患者所认可。本文选取我院收治的60例卵巢囊肿剥除术患者，对比采用腹腔镜与开腹方式治疗良性卵巢囊肿的临床疗效，现报道如下。, 百拇医药(董俊清 黄菊红)