腹腔镜下巨大卵巢良性肿瘤手术临床分析

Clinical study on removal surgery of giant benign ovarian cyst under laparoscopy

目的探讨腹腔镜在巨大卵巢良性囊肿手术的应用价值。方法回顾分析2005-01～2009-04本院收治巨大卵巢良性囊肿60例手术的临床资料，并利用统计软件SPSS13．0对所得的数据进行统计学评价。结果行开腹手术（对照组）32例和腹腔镜手术（治疗组）28例比较，两组术中出血量、手术并发症均无差异性，两组手术时间、术后肛门排气时间、自解小便时间、下床活动时间、术后病率、住院天数等均有显著差异。结论与开腹手术相比，腹腔镜手术具有创伤小、恢复快、手术风险较低、并发症少等优点，值得推广。

Objective To explore the value of surgery of resecting giant benign ovarian cyst under laparosco- py. Methods Clinical data of sixty cases of giant benign ovarian cyst removal surgery in our hospital between January 2005 and April 2009 were reviewed and analyzed. And SPSS13.0 was employed to statistically evaluate these data. Results As control group, 32 cases underwent laparotomy. And as research group, 28 cases underwent laparoscopic surgery. The comparison between the two groups revealed that, there were significant statistical differences in opertive time, anal exsufllation time, spontaneous urinary voidance time, off-bed activity time, incidence rate after surgery, and hospitalization days, etc. However, there showed no difference in postoperative hemorrhage volumes arid complications of surgery. Conclusion Compared with laparotomy, laparoscopic surgery exhibits great superiority such as minimal invasion, faster recovery, lower surgical risk, and less complication. And it has been accepted by more and more patients, and has high application and popularization value.