腹腔镜与开腹手术在卵巢囊肿剔除术中的对比研究

Comparative study of open surgery versus laparoscopy for ovarian cystectomy

目的比较腹腔镜与开腹手术治疗卵巢囊肿的效果。方法选择2013年3月至2015年8月首都儿科研究所收治的83例卵巢囊肿患儿,按照随机数字表法随机分为腹腔镜组( 43例)和常规开放手术组(40例),对两组患儿的手术时间、术中出血量、肠道功能恢复时间、住院时间、并发症、中转率进行比较。结果83例手术均获成功,术后无并发症发生,腹腔镜和开腹手术时间分别为(30.34±20.16) min和(46.45±15.76) min、术中出血量分别为(5±3.7) ml和(15±4.9) l、术后进食时间分别为(3.24±2.71) h和(5.92±2.78) h,住院时间分别为(2.93±1.18) d和(6.15±0.61) d,腹腔镜组均显著低于开腹组,差异有统计学意义(P<0.05),瘢痕评分腹腔镜组明显优于开腹手术组。结论腹腔镜卵巢囊肿手术在现阶段是安全可行的,具有创伤小、术后恢复快、住院时间短,瘢痕小,明显优于开腹卵巢囊肿手术,值得临床广泛推广应用。

Objective To explore the clinical outcomes of open surgery versus laparoscopy for ovarian cystectomy. MethodsFrom March 2013 to August 2015, 83 patients with ovarian cyst were randomized into either open surgery group (n=40) or laparoscopy group (n=43). The outcomes of open surgery versus laparoscopy for ovarian cystectomy were evaluated.Operative duration, volume of blood loss, surgical complications, postoperative pain score, length of hospital stay and cosmetic satisfaction score were compared between two groups. ResultsAll operations were successfully completed.No inter-group differences existed in volume of blood loss, length of hospital stay or incidence of complications (P>0.05). Operative duration was (30.34±20.16) min in laparoscopy group versus (46.45±15.76) min in open surgery group and visual analogue pain score (5.1±2.7) vs.(2.9±3.2). Both clinical parameters reached statistical differences.The volume of intraoperative blood loss was (5±3.7) vs.(15±4.9) ml, the postoperative time of food intake (3.24±2.71) vs.(5.92±2.78) hours and the length of hospitalization stay (2.93±1.18) vs.(6.15±0.61) days (all P<0.05). ConclusionsLaparoscopy ovarian cystectomy is both feasible and safe for benign ovarian cyst.And it offers minimal pain and better cosmesis with a faster recovery.