腹腔镜与剖腹行良性卵巢囊肿剥除术的对比研究

A controlled study of laparoscopy and laparotomy in cystectomy of benign ovarian cysts

目的比较腹腔镜术与剖腹术两种手术方法行良性卵巢囊肿剥除术的效果。方法将150例需手术治疗的良性卵巢囊肿患者随机分为腹腔镜组(76例)和剖腹术组(74例),对两组患者的特征及术中、术后情况进行对比分析。结果两组在年龄、体重、剖腹术史、囊肿大小、病理类型方面差异无统计学意义(P>0.05),术中失血量、术后发热率、对镇痛药的需求、术后住院日及恢复时间腹腔镜组与开腹组比较,差异有统计学意义(P<0.001)。结论腹腔镜行良性卵巢囊肿剥除术优于传统剖腹术。

Objective To compare the results of laparoscopy and laparotomy in eystectomy of benign ovarian cysts. Methods One hundred fifty patients with bengin ovarian cysts requiring surgical management were randomly devided into laparoscopy group （76 cases） and laparotomy group （74 cases）. The characteristics of patients,mean operating time, frequency of rupture of the cysts during operation,estimated blood loss, postoperative morbidity and analgesic requirment, hospital stay and recovery period were compared. Results There were no differences in age, body weight, previous laparotomy, size of cysts, operating time and rupture rates of cysts between two groups（P〉0.05）. Laparoseopy was associated with a significant reduction in intraoperative blood loss, postoperative fever rate, nalgesic requirment, hospital stay and recovery period （P〈0. 001, P〈 0.05）. Conclusion Laparoscopy is superior to laparotomy in cystectomy of beninarian cgn ovysts.