开腹与腹腔镜下卵巢巧克力囊肿剔除术疗效比较

目的探讨腹腔镜与开腹手术治疗卵巢巧克力囊肿的临床效果。方法对300例卵巢巧克力囊肿手术患者进行回顾性分析。对照组行开腹手术治疗,观察组行腹腔镜手术治疗,比较两组术后观察指标的变化。结果手术时间、复发率、以及卵巢功能的恢复两组比较无显著性差异(P>0.05),术中出血量、术后排气时间、住院时间、术后镇痛率、切口感染率方面观察组优于对照组,痛经好转率方面对照组好转率为85.2%,观察组好转率为95.6%,两组比较差异均有统计学意义。结论腹腔镜治疗卵巢巧克力囊肿具有创伤小、术中出血少,术后恢复快等优点,值得临床推广。

Objective To investigate the clinical effects of laparoscopic and open surgical treatment of ovarian chocolate cysts. Methods 300 cases of ovarian chocolate cyst surgery patients were retrospectively analyzed. Control group underwent laparotomy to observe the group of laparoscopic surgery, compare postoperative outcome measures changes.Results The operation time, the recurrence rate, and ovarian function recovery showed no significant difference （P〈0.05）, intraoperative blood loss, postoperative passage of flatus, length of hospital stay, postoperative analgesia rate, wound infection rate observed group than the control group, dysmenorrhea improved rate control group, the improvement rate was 85.2%, improvement rate was 95.6% in the observation group, the two groups than differences were statistically significant. Conclusion Laparoscopic treatment of ovarian chocolate cysts with less trauma, less bleeding and quick recovery after surgery is worthy of clinical