腹腔镜手术与传统手术治疗卵巢良性囊肿的疗效比较

Comparison of Laparoscopic Surgery and Open Surgery for Benign Ovarian Cysts

目的比较腹腔镜手术与传统手术治疗卵巢良性囊肿的临床效果。方法将60例良性卵巢囊肿患者按随机数字表法分为2组:观察组30例采用腹腔镜手术治疗,对照组30例采用传统开腹手术治疗。比较2组术中出血量、下床活动时间、术后排气时间及住院时间,记录2组术后复发、发热发生情况及镇痛药物使用情况。结果与对照组比较,观察组术中出血量、术后镇痛药物使用率显著减少,下床活动时间、术后排气时间及住院时间明显缩短(P<0.05);2组术后复发、发热发生率比较差异无统计学意义(P>0.05)。结论腹腔镜手术治疗卵巢良性囊肿是安全有效的,且较传统开腹手术具有创伤小、术后恢复快等优点。

Objective To compare the clinical effects of laparoscopic surgery and open surgery on benign ovarian cysts.Methods Sixty patients with benign ovarian cysts were randomly assigned to receive either laparoscopic surgery（observation group,n=30）or open surgery（control group,n=30）.Intraoperatve blood loss,time to off-bed activity,time to first flatus and length of hospital stay were compared between the two groups.In addition postoperative recurrence,fever and analgesic drug use were recorded in both groups.Results Compared with control group,intraoperatve blood loss and analgesic drug use were decreased and time to off-bed activity and first flatus were shortened in observation group（P〈0.05）.There were no significant differences in incidences of recurrence and fever between the two groups（P〉0.05）.Conclusion Laparoscopic surgery is effective and safe for benign ovarian cysts.It is superior to open surgery for reducing trauma and promoting recovery.