二氧化碳激光囊肿造口术与袋状缝合造口术治疗前庭大腺囊肿的疗效观察

Curative effect observation of carbon dioxide laser cystostomy and pouch suture neostomy in treating bartholin gland cyst

目的探讨妇科疾病外阴前庭大腺囊肿最佳的手术方式,从而降低手术后复发率,最大程度地减轻女性患者的痛苦,提高夫妻生活质量。方法前庭大腺囊肿患者被随机分为两组,A组183例采取二氧化碳激光囊肿造口术治疗前庭大腺囊肿,B组132例采取袋状缝合造口术治疗前庭大腺囊肿,对两组的手术时间长短、术后疼痛情况、术中出血量多少、手术恢复时间长短、术后复发率高低进行比较。结果 A组手术时间比B组明显缩短,术后疼痛明显减轻,术中出血明显减少,恢复时间明显加快,复发率减少,P<0.01。结论二氧化碳激光囊肿造口术治疗妇科疾病外阴前庭大腺囊肿的方法优于袋状缝合造口术,可以临床推广。

Objective To investigate the best surgical method treating bartholin gland cyst, thereby reducing postoperative recurrence rate, maximumly alleviating the female patients＇ suffering and improving married life quality. Methods Patients with bartholin gland cyst were randomly divided into two groups, group A included 183 cases were treated by carbon diox- ide laser cystsostomy while group B included 132 cases were treated by pouch suture neostomy. Operative time, postopera- tive pain, intraoperative blood loss, recovery time and recurrence rate were compared between the two groups. Results Group A had significantly shorter operative time, less postoperative pain, less intraoperative blood loss, faster recovery time and less recurrence rate than that of group B （P 〈 0.01）. Conclusion The treatment of carbon dioxide laser cystostomy is better than pouch suture neostomy in treating bartholin gland cyst and it is worth for spreading in clinical practice.