腹腔镜手术治疗卵巢良性肿瘤68例分析

Clinical analysis of 68 cases with ovarian benign tumor by the treatment of laparoscopic operation

目的探讨腹腔镜手术治疗卵巢良性肿瘤的临床效果和安全性。方法回顾性分析2009年1月至2010年1月68例在我院妇产科行腹腔镜手术治疗卵巢良性肿瘤患者的临床资料。选择同期68例采用开腹治疗卵巢良性肿瘤的患者为对照组，比较2组患者的手术时间、术中出血量、平均住院天数和术后肛门平均排气时问等。结果治疗组手术时间（63．60±7．71）min，对照组手术时间（62．40±8．90）min，2组比较差异无统计学意义（t=0．663，P〉0．05），治疗组术中出血量、肛门排气时间和平均住院Et分别为（68．00±14．90）ml、（17．30±2．40）h和（3．90±1．40）d，对照组分别为（119．00±19．60）ml、（34．60±2．80）h和（7．70±1．50）d，2组比较差异均有统计学意义（t值分别为2．664、2．523、2．724，P均〈0．05）。结论腹腔镜手术创伤小、康复快，可作为治疗卵巢良性肿瘤的首选方法，值得临床推广。

Objective To investigate the clinical effect and safety of laparoscopy on ovarian benign tumor. Methods The data of 68 patients, underwent laparoscopic operations on ovarian benign tumor from Jan 2009 to Jan 2010, were analyzed retrospectively. Sixty eight patients underwent laparotomy were randomly enrolled as control. The operative time, the blood loss, the average admission day and the average postoperative exhaust time were compared between two groups. Results We found no significant differences in the comparation of operative time （ [ 63. 60 ± 7. 71 ] min vs. [ 62. 40 ± 8. 90 ] min, t = 0. 663, P 〉 0. 05 ）, while the blood loss, the average postowrative exhaust time, the average admission day of the treatment group were significantly lower in the objectives than control （ [68. 00 ± 14. 90] ml vs. [ 119. 00 ± 19.60] ml, [ 17. 30 ±2.40]h vs. [34.60 ± 2.80] h, [3.90 ±1.40] days vs. [7.70 ± 1.50] days,t =2.664, 2.523,2.724,Ps 〈 0. 05 ）. Conclusion Laparoscopy is the first choice of method in treating ovarian benign tumor given its minimal invasion and rapid recovery.