腹腔镜与开腹手术治疗老年卵巢肿瘤蒂扭转的效果比较

Effect comparison of laparoscopy and open surgery on elderly patients with ovarian tumor pedicle torsion

目的:比较腹腔镜与开腹手术治疗老年卵巢肿瘤蒂扭转的效果。方法:回顾性分析2014年6月至2016年6月的200例老年卵巢肿瘤蒂扭转患者的临床资料,按手术方式不同分成观察组与对照组,100例采用开腹手术为对照组,另100例采用妇科腹腔镜手术为观察组。比较两组手术相关指标及并发症情况。结果:观察组术中失血量、麻醉时间、手术时间、胃肠道恢复时间、住院天数少于对照组,差异有统计学意义(P<0.05),观察组并发症发生率2.00%,低于对照组的11.00%,差异有统计学意义(P<0.05)。结论:腹腔镜手术治疗老年卵巢肿瘤蒂扭转的效果优于开腹手术治疗效果。

Objective: To compare effects of laparoscopy and open surgery on elderly patients with ovarian tumor pedicle torsion.Methods: The clinical data of 200 elderly patients with ovarian tumor pedicle torsion treated from June 2014 to June 2016 in Xishui county maternal and child health hospital of Huanggang city were retrospectively analyzed. They were divided into observation group(n=100) and control group(n=100) according to the different surgical methods. The control group was treated with the open surgery, while the observation group was treated with the laparoscopy. The surgery-related indicators and complications were compared between the two groups. Results: The intraoperative blood loss, anesthesia time, operation time, gastrointestinal recovery time and hospitalization day in the observation group were better than those in the control group, and the differences were statistically significant(P<0.05). The complication rate in the observation group was 2.00%, which was lower than that in the control group of 11.00%, and the difference was statistically significant(P<0.05). Conclusions: Laparoscopy in the treatment of the elderly patients with ovarian tumor pedicle torsion is superior to open surgery.