腹腔镜与开腹手术治疗卵巢囊肿的疗效比较

The Effect Comparison of Laparoscopic Surgery and Open Surgical for Ovarian Cysts

目的比较腹腔镜与开腹手术治疗卵巢囊肿的临床疗效。方法我院2009年1月～2010年1月采用腹腔镜手术治疗卵巢囊肿28例,并与同期开腹手术治疗作比较,观察并记录两组患者的手术时间、术中出血量和术后住院天数以及复发情况。结果两组手术均顺利完成。其中腹腔镜组行卵巢囊肿剥除术19例,卵巢囊肿切除术9例;开腹手术组行卵巢囊剥除术15例,卵巢囊肿切除术13例,两组手术时间比较差异无显著性(P>0.05),但观察组的术中出血量及术后住院天数明显少于对照组(P<0.05)。结论腹腔镜治卵巢囊肿具有手术创伤小、出血少、手术时间短、术后恢复快、住院时间短、腹部几乎不留瘢痕、盆腔粘连少、输卵管阻塞轻微,更易于保留输卵管的优点,值得临床广泛推广和应用。

Objective To compare the laparoscopic and open surgical treatment of ovarian cysts effect. Methods Ovarian cysts by laparoscopic surgery, 28 cases treated with open surgery in January 2009- January 2010 in our hospital of compared to the same period, the two groups were observed and recorded the surgical time, blood loss and postoperative hospital stay the number of days,and recurrence. Results Both groups were operated successfully. One group underwent laparoscopic ovarian cystectomy in 19 cases, 9 eases of ovarian cystectomy ; Open surgery group were 15 cases of ovarian cyst cystectomy, resection of 13 cases. Operation time the two groups was no significant difference （ P 〉 0.05 ） . But the obsexvation group blood loss and postoperative hospital stay was significantly less than the control group （P 〈 0.05 ）. Conclusion Laparoseopic treatment of ovarian cysts with surgical trauma, less bleeding, shorter operative time, rapid postoperative recovery,shorter hospital stay,leaving almost no abdominal scar, less pelvic adhesions, tubal blockage minor and easier to retain the advantages of fallopian tube and is worthy of widely promoted and applied.