腹腔镜手术治疗卵巢良性上皮性肿瘤52例临床分析(1)
[摘要] 目的 探討腹腔镜手术治疗卵巢良性上皮肿瘤的临床疗效，并与开腹卵巢良性肿瘤切除手术进行比较。方法 选择2014年6月～2016年6月我院应用腹腔镜手术治疗卵巢良性上皮肿瘤52例作为腹腔镜组的临床资料进行分析，另选择同期行开腹卵巢良性肿瘤切除手术50例作为对照组，比较两组患者的手术时间、术后排气时间及住院时间及术中出血量情况，并比较两组患者术后的并发症发生率。 结果 腹腔镜组52例患者均在腹腔镜下顺利完成手术，无一例中转开腹。腹腔镜组患者手术时间、术后排气时间及住院时间分别短于对照组，组间比较存在显著差异(P<0.05)。腹腔镜组患者术中出血量明显少于对照组，组间比较存在显著差异(P<0.05)。腹腔镜患者无一例发生切口脂肪液化及血管损伤，其并发症发生率为5.77%(3/52)，对照组患者术后发生切口感染6例、血管损伤3例、切口脂肪液化3例、肠梗阻6例、术后体温>38℃ 7例，其并发症发生率为50.00%(25/50)，两组患者术后并发症发生率比较，差异具有显著性(P<0.05)。 结论 腹腔镜手术治疗卵巢良性上皮肿瘤的临床疗效确切，与开腹卵巢良性肿瘤切除手术进行比较存在创伤小、术中出血少及并发症少、患者术后恢复快等优点，值得广泛推广和应用。
[关键词] 卵巢良性上皮性肿瘤；腹腔镜手术；并发症；住院时间
[中图分类号] R737.31 [文献标识码] B [文章编号] 1673-9701(2017)04-0091-03
Clinical analysis of 52 cases of ovarian benign epithelial tumors treated by laparoscopic surgery
LE Fuwen YU Bixia MA Haifen
Beilun District People's Hospital， Beilun Branch， the First Hospital of Zhejiang University， Ningbo 315800， China
[Abstract] Objective To investigate the clinical efficacy of laparoscopic surgery in the treatment of ovarian benign epithelial tumors， and to compare with laparotomy of benign ovarian tumors. Methods 52 patients with ovarian benign epithelial tumor who were treated with laparoscopic surgery from June 2014 to June 2016 were selected as the laparoscopy group. Their clinical data were analyzed. Another 50 patients with open ovarian benign tumor resection during the same period were selected as the control group： the operation time， time of postoperative passage of gas， length of hospital stay and intraoperative blood loss were compared between the two groups， and the incidence rate of postoperative complications was compared between both groups. Results 52 patients were given the laparoscopic surgery successfully in the laparoscopic group， with no case transferred to laparotomy. The operation time， time of postoperative passage of gas and length of stay in the laparoscopy group were shorter than those in the control group， and there was significant difference between the two groups(P<0.5). The intraoperative blood loss in the laparoscopy group was significantly lower than that in the control group， and there was significant difference between the two groups (P<0.05). There was no case of incision fat liquefaction and vascular injury in the laparoscopy group， and the incidence rate of complications was 5.77%(3/52). In the control group， there were 6 cases of incision infection， 3 cases of vascular injury， 3 cases of incision fat liquefaction， 6 cases of intestinal obstruction， 7 cases of postoperative temperature > 38 ℃， and the incidence rate of complications was 50.00%(25/50). The difference of incidence rate of postoperative complications compared between the two groups was statistically significant(P<0.05). Conclusion The clinical effect of laparoscopic surgery in the treatment of ovarian benign epithelial tumors is exact. Compared with open abdominal ovarian benign tumor resection， there are advantages of less trauma， less intraoperative bleeding and less complication， and quick recovery after operation. It is worthy of widespread promotion and application., 百拇医药(乐福文 俞碧霞 马海芬)
[关键词] 卵巢良性上皮性肿瘤；腹腔镜手术；并发症；住院时间
[中图分类号] R737.31 [文献标识码] B [文章编号] 1673-9701(2017)04-0091-03
Clinical analysis of 52 cases of ovarian benign epithelial tumors treated by laparoscopic surgery
LE Fuwen YU Bixia MA Haifen
Beilun District People's Hospital， Beilun Branch， the First Hospital of Zhejiang University， Ningbo 315800， China
[Abstract] Objective To investigate the clinical efficacy of laparoscopic surgery in the treatment of ovarian benign epithelial tumors， and to compare with laparotomy of benign ovarian tumors. Methods 52 patients with ovarian benign epithelial tumor who were treated with laparoscopic surgery from June 2014 to June 2016 were selected as the laparoscopy group. Their clinical data were analyzed. Another 50 patients with open ovarian benign tumor resection during the same period were selected as the control group： the operation time， time of postoperative passage of gas， length of hospital stay and intraoperative blood loss were compared between the two groups， and the incidence rate of postoperative complications was compared between both groups. Results 52 patients were given the laparoscopic surgery successfully in the laparoscopic group， with no case transferred to laparotomy. The operation time， time of postoperative passage of gas and length of stay in the laparoscopy group were shorter than those in the control group， and there was significant difference between the two groups(P<0.5). The intraoperative blood loss in the laparoscopy group was significantly lower than that in the control group， and there was significant difference between the two groups (P<0.05). There was no case of incision fat liquefaction and vascular injury in the laparoscopy group， and the incidence rate of complications was 5.77%(3/52). In the control group， there were 6 cases of incision infection， 3 cases of vascular injury， 3 cases of incision fat liquefaction， 6 cases of intestinal obstruction， 7 cases of postoperative temperature > 38 ℃， and the incidence rate of complications was 50.00%(25/50). The difference of incidence rate of postoperative complications compared between the two groups was statistically significant(P<0.05). Conclusion The clinical effect of laparoscopic surgery in the treatment of ovarian benign epithelial tumors is exact. Compared with open abdominal ovarian benign tumor resection， there are advantages of less trauma， less intraoperative bleeding and less complication， and quick recovery after operation. It is worthy of widespread promotion and application., 百拇医药(乐福文 俞碧霞 马海芬)