经阴道与腹腔镜下良性卵巢肿瘤切除术的临床效果对比分析

Clinical effect of trans-vaginal and macroscopic resection of benign ovarian tumor

目的:探讨经阴道和腹腔镜两种方法用于良性卵巢肿瘤切除术的临床疗效。方法:通过分析2011年8月至2014年9月重庆市巴南区人民医院收治的183例良性卵巢肿瘤患者的临床资料,根据患者手术方式分为经阴道手术组和腹腔镜手术组分别81例、102例,对两组患者手术结束的临床效果进行分析。结果:两种治疗方法术后治愈率比较,差异无统计学意义(P>0.05);腹腔镜手术时间显著长于经阴道手术方法,两组术后排气时间和住院时间比较,差异有统计学意义(P<0.05),术中出血量比较,差异无统计学意义(P>0.05);两组患者术后并发症发生率比较,差异无统计学意义(P>0.05)。结论:经阴道和腹腔镜手术在良性卵巢肿瘤患者临床治疗中各有利弊,具体选择方案应根据患者具体病情进行选择,针对患者进行经济有效的治疗。

Objectives： To evaluate the clinical effect of trans - vaginal and macroscopic resection of benign ovarian tumor. Methods： The clinical data of 183 patients with benign ovarian tumors treated in Banan District Peo- ples Hospital from August 2011 to September 2014 was analyzed and the patients were divided, according to the sur- gery received, into trans - vaginal surgery group （ n = 81 ） and macroscopic surgery group （ n = 102 ）. The clinical effect of the two groups was compared. Results： Difference in the cure rate between the two groups was not signifi- cant （ P 〉 0. 05 ）. The operative time of macroscopic surgery group was longer than that of the trans - vaginal sur- gery group. Difference in the postoperative exhaust time and hospitalization time was statistically significant （P 〈 0. 05 ） , but difference in the amount of bleeding was of no statistical significance （ P 〉 0. 05 ） , so as difference in the incidence of postoperative complications. Conclusion： Trans - vaginal and macroscopic resection surgery both have advantages and disadvantages in treating benign ovarian tumor, and should be chosen according to the specific condition of patients.