腹腔镜下与经腹保守性手术治疗卵巢肿瘤蒂扭转的疗效对比分析

Comparative Analysis of the Efficacy of Laparoscopic and Abdominal Conservative Surgery in the Treatment of Ovarian Tumor Pedicle Torsion

目的分析腹腔镜下与经腹保守性手术治疗卵巢肿瘤蒂扭转的效果。方法选取我院2012年9月~2014年2月急诊科收治的70例卵巢肿瘤蒂扭转患者,随机均分为两组,观察组接受腹腔镜下手术治疗,对照组接受经腹保守性手术治疗,术后,比较两组患者的术中情况及住院时间。结果观察组患者的手术时间、术中出血量、住院时间均优于对照组,两组差异有统计学意义（P〈0.05）。结论卵巢肿瘤蒂扭转患者若需要保留生育功能,建议接受腹腔镜下保留卵巢的保守性手术治疗,其临床效果显著,与经腹保守性手术治疗相比,其术中出血量少,住院时间短。

Objective To analyze and abdominal laparoscopic conservative surgery for ovarian tumors torsion effect. Methods 70 cases of torsion of ovarian tumors were randomly divided into two groups in September 2012-February 2014 in emergency department of our hospital, observation group received laparoscopic surgery, the control group received conservative abdominal surgery treatment, surgery, two groups were compared to intraoperative conditions and length of stay. Results The patient＇s operation time, blood loss, hospital stay were significantly superior than the control group, the difference was significant, statistically significant （P〈0.05）. Conclusion The torsion of ovarian tumors if patients need to retain reproductive function, reservations recommended acceptance of laparoscopic ovarian conservative surgery, the clinical effect is significant, compared with the conservative abdominal surgery, less bleeding, shorter hospital stay.