两种手术方法治疗卵巢囊肿的疗效比较

Efficacy Comparison of Two Surgical Methods in the treatment of Ovarian Cyst

目的探讨卵巢良性肿瘤行腹腔镜手术治疗的临床疗效。方法回顾性分析两种不同手术方式治疗108例卵巢囊肿患者的临床资料,其中行进腹手术(进腹组)66例,行腹腔镜手术(腹腔镜组)42例,比较两种不同术式的术中及术后情况,包括手术时间、失血量、肛门排气时间、应用抗生素时间、术后并发症、住院时间、术后应用镇痛药的比例。结果两组患者平均手术时间、平均失血量、肛门排气时间和应用抗生素时间比较差异无显著意义(P>0.05);两组患者的术后病率、住院时间、术后应用镇痛药比率之间有显著差异,腹腔镜组术后病率、住院时间及术后镇痛药比率均明显低于进腹组(P<0.05)。结论腹腔镜手术具有创伤小、疼痛轻、康复快、瘢痕小、术后并发症少等优点,是治疗卵巢良性肿瘤的可行、安全、有效的方法。

Objective To investigate the clinical efficacy of laparoscopic surgery in treating benign ovarian tumor. Methods The clinical materials of 108 cases of ovarian cyst patients treated with two surgical methods were retrospectively analysed. All the patients were divided into laparotomy group （66 cases） and laparoscopic group （42 cases）. The conditions during the operation and after the operation of two groups were compared, including the operation time, the bleeding volume, anal exhausting time, antibiotics administration time, the operation complications, hospitalization time and the rate of analgesic drug administration. Results The operation time, bleeding volume, anal exhausting time and antibiotics administration time of the two groups had no significant difference （P 〉0.05）; the operation complications, hospitalization time and the analgesic drug administration rate of the laparoscopic group were significantly lower than those of the laparotomy group, with statistical significant difference （P 〈0.05）. Conclusions Laparoscopic surgery enjoys less trauma, less pain, rapid recovery, small scar, and less complications, which is a feasible, safe, effective method to treat benign ovarian tumor.