腹腔镜手术治疗卵巢良性上皮性肿瘤的有效性及安全性研究

Study on effectiveness and safety of laparoscopic surgery for the treatment of benign ovarian epithelial tumors

目的分析腹腔镜手术治疗卵巢良性上皮性肿瘤的有效性及安全性。方法 80例卵巢良性上皮性肿瘤患者,随机分为对照组和观察组,各40例。对照组患者进行开腹手术,观察组患者进行腹腔镜手术,比较两组患者的手术时间、术中出血量、首次排气时间及住院时间。结果观察组患者的手术时间为(58.37±11.47)min显著短于对照组的(65.14±9.19)min,术中出血量为(40.16±11.41)ml显著少于对照组的(71.35±27.42)ml,首次排气时间为(25.26±6.26)h显著短于对照组的(37.23±12.38)h,住院时间为(3.20±0.90)d显著短于对照组的(7.30±2.30)d,差异均有统计学意义(P<0.05)。结论腹腔镜治疗卵巢良性上皮性肿瘤取得了显著的临床疗效,减少了患者的术中出血量,缩短了患者的手术时间、首次排气时间、住院时间,与传统开腹手术相比更具优势,具有一定的临床推广意义和价值。

Objective To analyze the effectiveness and safety of laparoscopic surgery for the treatment of benign ovarian epithelial tumors.Methods A total of 80 patients with benign ovarian epithelial tumors were randomly divided into control group and observation group,with 40 cases in each group.The control group received open surgery,and the observation group received laparoscopic surgery.Comparison were made on operation time,intraoperative bleeding volume,first exhaust time and hospitalization time between two groups.Results The observation group had obviously shorter operation time as（58.37±11.47） min than（65.14±9.19） min in the control group,obviously less intraoperative bleeding volume as（40.16±11.41） ml than（71.35±27.42） ml in the control group,obviously shorter first exhaust time as（25.26±6.26） h than（37.23±12.38） h,and obviously shorter operation time as（3.20±0.90） d than（7.30±2.30） d in the control group.Their difference was statistically significant（P0.05）.Conclusion Laparoscopic therapy provides remarkable clinical efficacy for the treatment of benign ovarian epithelial tumors,and can reduce the amount of intraoperative bleeding of patients,shorten their operation time,first exhaust time and hospitalization time.It has more advantages compared with the traditional open surgery.It contains certain clinical promotion significance and value.