腹腔镜治疗卵巢良性肿瘤的疗效及安全性分析

Analysis of Curative Effect and Safety of Laparoscope in the Treatment of Benign Ovarian Tumor

目的分析腹腔镜治疗卵巢良性肿瘤的疗效及安全性。方法选取2011年5月至2013年10月我院收治的68例卵巢良性肿瘤患者为研究对象,按照随机数字表法将其分为治疗组和对照组各34例。对照组患者采用常规开腹手术进行治疗,治疗组患者通过腹腔镜手术进行治疗。观察对比两组患者的手术时间、术中出血量、肛门排气时间、术后住院时间、术后使用镇痛剂发生率、术后发热发生率和术后切口感染率。结果治疗后,两组患者手术时间相比,差异无统计学意义(P>0.05);但治疗组患者的术中出血量、肛门排气时间和术后住院时间均显著少于对照组患者,组间相比差异具有统计学意义(P<0.05)。治疗组患者术后使用镇痛剂发生率为5.88%,术后发热发生率为8.82%,术后切口感染率为0.00%,均显著低于对照组的32.35%、35.29%和23.53%,两组相比差异具有统计学意义(P<0.05)。结论腹腔镜手术治疗卵巢良性肿瘤临床效果较为理想,不良反应较少,值得推广应用。

Objective To analyze the efficacy and safety of laparoscope in the treatment of benign ovarian tumor. Methods 68 cases of patients with benign ovarian tumor treated in our hospital from May 2011 to October 2013 were selected as research subjects and divided into treatment group and control group according to random number table, with 34 cases in each group. The control group was treated with conventional open surgery, the treatment group was given laparoscopic surgery. The operative time, bleeding volume in surgery, anus exhausting time, hospitalization time, incidence of postoperative analgesic use, incidence of postoperative fever and incision infection rate of two groups were observed and compared. Results After treatment, the operative time of two groups had no statistical difference（P 0.05）;the bleeding volume in surgery, anus exhausting time and hospitalization time of the treatment group were significantly less than those of the control group, with statistical difference（P 0.05）. The incidence of postoperative analgesic use, incidence of postoperative fever and incision infection rate of the treatment group were 5.88%, 8.82%, 0.00% respectively, significantly lower than 32.35%, 35.29% and 23.53%of the control group, with statistical difference（P 0.05）. Conclusions Laparoscopic surgery has ideal clinical effect and less adverse reactions in the treatment of benign ovarian tumor, which deserves promotion.