腹腔镜与剖腹行良性卵巢囊肿剥出术的对照研究

A controlled study of laparoscopy and laparotomy in the cystectomy of benign ovarian cysts.

目的:比较腹腔镜术与剖腹术两种方法行良性卵巢囊肿剥出术的结果。方法:将妇科手术治疗的75例良性卵巢囊肿患者随机分为腹腔镜组(38例)和剖腹术组(37例),对两组患者的特征及术中、术后情况进行对比分析。结果:两组在年龄、体重、剖腹术史、囊肿大小、病理类型等方面差异无显著性(P>0.05)。术后病率、对镇痛药的需求、术后住院日及恢复时间,腹腔镜组显著减少(P<0.01或P<0.05)。结论:腹腔镜行良性卵巢囊肿剥出术优于传统剖腹术。

Objective:To compare the results of laparoscopy and laparotomy in the cystectomy of benign ovarian cysts. Methods: 75 patients with benign ovarian cysts requiring surgical management were randomly devided into laparoscopy group (38 cases) and laparotomy group (37 cases). The characteristics of patients, mean operating time, frequency of rupture of the cysts during operation ,estimated blood loss,postoperative morbidity and analgesic requirment,hospital stay and recovery period were compared. Results: There were no differences in age, body weight, previous laparotomy , the size of cysts, operating time and rupture rates of cysts between two groups ( P>0.05). Laparoscopy was associated with a significant reduction in intraoperative blood loss, postoperative morbidity, analgesic requirment,hospital stay and recovery period (P<0.01 or P<0.05). Conclusions : Operative laparoscopy is superior to laparotomy in the cystectomy of benign ovarian cysts.