腹腔镜下卵巢剥离术加电凝修复术治疗卵巢良性肿瘤122例分析

Analysis of Treatment of 122 Cases of Ovarian Benign Tumor by Ovarian Decollement Under Laparoscope Plus Electrocoagulative Prothesis

目的:探讨腹腔镜下卵巢良性肿瘤剥除术加电凝修复术的安全性、可行性。方法:对122例卵巢良性肿瘤行腹腔镜下卵巢良性肿瘤剥离术加电凝修复术与同期96例卵巢良性肿瘤开腹手术进行比较。结果:腹腔镜手术组平均手术时间为54.92min,开腹手术组为76.52min,两组差异有显著性(P<0.05)。腹腔镜组、开腹组平均失血量、术后病率和住院日比较,分别为54.26ml、0.9%、4d和78.54ml、6.9%、7d,差异有显著性(P<0.05)。腹腔镜组术后无1例用镇痛药,术后6h进食、自行小便并下床活动,无腹腔内出血发生。术后分别对腹腔镜组中卵巢子宫内膜异位症44例和开腹组中卵巢子宫内膜异位症36例随访6月,结果腹腔镜组有3例出现下腹隐痛(6.82%),剖腹组有6例出现下腹隐痛(16.67%)。结论:腹腔镜卵巢良性肿瘤剥离术具有术中出血少、住院时间短、术后恢复快,术后病率低、术后并发症少等优点,是一种安全、有效的手术方法,值得临床推广应用。

Objective: Exploring safety and feasibility of treatment of ovarian benign tumor by ovarian decollement under laparoscope plus electrocoagulative prothesis. Methods: Ovarian benign tumor decollement under laparoscope plus electrocoagulative prothesis was performed for 122 patients with ovarian benign tumor and comparison of the results was made with those of laparotomy for 96 cases of ovarian benign tumor in the same period. Results: The averaged operation time for the laparoscope group was 54.92min while this index for the laparotomy group was 76.52min. The difference between the 2 groups is statistically significant (P<0.05). In comparison, the averaged volume of blood loss, postoperative morbidity and hospitalized days for the laparoscope and laparotomy groups were 54.26ml, 0.9%, 4d and 78.54ml, 6.9%, 7days respectively. The difference between the 2 groups is also statistically significant (P<0.05). As for the laparoscope group, no patients used analgesics after operations and had intraperitoneal hemorrhage and patients could take food, discharge urine by themselves and get out of beds for movement 6h after operation. After operations, 6 month follow-up visits were made for both 44 cases of ovarian endometriosis in the laparoscope group and 36 cases of such a disease in the laparotomy group. The result showed that 3 cases in the laparoscope group (6.82%) and 6 cases in the laparotomy group (16.67%) suffered from hypogastralgia. Conclusion: Ovarian benign tumor decollement under laparoscope is a safe and effective operation, with the advantages such as little intraoperative hemorrhage, few hospitalized periods, quick postoperative recovery, low postoperative morbidity, few postoperative complications, etc. which is worthy of being clinically popularized and applied.