腹腔镜手术治疗附件包块110例临床疗效分析

Clinical Analysis of 110 Cases of Adnexal Masses by Laparoscopy

【目的】探讨应用腹腔镜手术治疗附件包块的疗效。【方法】将2004年6月至2007年6月间入住本院治疗的200例良性附件包块患者,分为腹腔镜手术组和剖腹手术组,对比观察两组手术效果及并发症等。【结果】腹腔镜手术组平均手术时间,术中出血量,肛门排气时间,术后平均住院日及术后发热、镇痛剂使用例数等明显少于剖腹手术组(P<0.05)。【结论】腹腔镜附件包块切除术具有安全、微创、术后恢复快、住院时间短等优点,值得临床推广使用。

[Objective] To investigate the therapeutic efficacy of laparoscopy on adnexal masses. [Methods]Two hundred patients with benign adnexal masses in our hospital from June 2004 to June 2007 were randomly divided into laparoscopy group and laparotomy group. The results were compared between two groups. [Results] The average time of operation, the amount of bleeding, anal exhaust time, the time of stay after operation, the number of cases with fever and needing analgesia drugs were significantly less than those of laparotomy group（ P〈0.05）. [Conclusion] Laparoscopy in treating adnexal masses has advantages such as safe, minimal invasion, quick recovery after operation , and short time of stay, etc. It is worth to he used widely in clinic.