经阴道手术和腹腔镜手术治疗卵巢囊肿的对比研究

A Comparative Study of the Transvaginal Operation and Laparoscopy Operation Treating the Ovarian Cyst

目的探讨经阴道手术和腹腔镜手术治疗卵巢囊肿的临床应用价值。方法回顾性分析2004年3月～2005年2月我院43例行经阴道手术及同期84例行腹腔镜手术的卵巢囊肿患者的临床资料。结果两组患者术中出血量、术后24h最高体温及肠功能恢复时间间差别均无显著性意义(P>0.05)。经阴道手术者手术时间、术后住院日均短于腹腔镜手术者,差别有显著性意义(P<0.05)。经阴道切除囊肿可以避免囊液溢到腹腔引起的化学性腹膜炎和肿瘤细胞的种植。腹腔镜手术便于盆腔探查,而且适用于未婚患者。结论经阴道手术和腹腔镜手术各有利弊,均为较理想的术式,可根据患者的具体情况进行选择。

Objective To explore the practical application value of laparoscopic operation and transvaginal operation treating the ovarian cyst. Methods A retrospective study was made for 127 patients with ovarian cysts operated from Mar. 2004 to Feb. 2005, transvaginal cystectomy was performed in 43 cases and 84 cases by laparoscopy, the clinical data of those patients were compared in detail. Results There was no significant difference in the two groups in the amount of bleeding during the op- eration, the highest temperature of 24 hours after operation, and the time of bowel function recovery （ P 〉 0. 05）. The time of laparoscopic operation increased. Hydatid fluid can not enter abdominal cavity which can lead to chemical peritonitis and tumor cells implantation by transvaginal cystectomy. Laparoscopic operation is good for pelvic cavity detection and suitable to unmarried women. Conclusion Laparoscopic operation and transvaginal operation have their advantages and disadvantages separately, both can be performed widely in different patients.