开腹卵巢囊肿剥除术与腹腔镜卵巢囊肿剥除术治疗良性卵巢囊肿的效果比较

Open oophorocystectomy versus laparoscopic oophorocystectomy in treatment of benign ovarian cyst

目的比较开腹卵巢囊肿剥除术与腹腔镜卵巢囊肿剥除术治疗良性卵巢囊肿的效果。方法选取240例良性卵巢囊肿患者,按手术方案分为对照组(开腹卵巢囊肿剥除术)与观察组(腹腔镜卵巢囊肿剥除术),每组120例。比较2组手术指标、并发症发生情况及疼痛程度。结果观察组术中失血量、排气时间及住院时间均优于对照组,术后3 d疼痛视觉模拟评分(VAS)低于对照组,差异有统计学意义(P <0. 05)。观察组术后并发症发生率1. 67%,显著低于对照组的10. 83%(P <0. 05)。观察组术后3个月卵泡刺激素、促黄体激素水平显著高于对照组,雌二醇水平显著低于对照组(P <0. 05)。结论与开腹卵巢囊肿剥除术相比,腹腔镜卵巢囊肿剥除术治疗良性卵巢囊肿具有创伤小、恢复快、术后疼痛程度低、对卵巢功能影响小等优势。

Objective To compare the clinical effect of open oophorocystectomy and laparoscopic oophorocystectomy in treatment of benign ovarian cyst.Methods A total of 240 patients with benign ovarian cyst were selected and divided into two groups according to surgical plans,named as control group(n=120,treated by open oophorocystectomy)and observation group(n=120,treated by laparoscopic oophorocystectomy).Surgical indicators,incidence of complications and degree of pain were compared between the two groups.Results The blood loss,exhaust time and hospitalization time of the observation group were significantly better than those of the control group,and the VAS score at 3 d after operation was significantly lower than that of the control group(P<0.05).The incidence rate of postoperative complications in the observation group was 1.67%,which was significantly lower than 10.83%in the control group(P<0.05).The levels of follicle stimulating hormone and luteinizing hormone in the observation group were significantly higher than those in the control group,and the level of estradiol was significantly lower than that in the control group(P<0.05).Conclusion Compared with open oophorocystectomy,laparoscopic oophorocystectomy has the advantages of fewer traumas,faster recovery,less postoperative pain and less impact on ovarian function.