腹腔镜与开腹卵巢囊肿剥除术的临床应用对比观察

Comparative Observation on Clinical Application of Laparoscopic and Open Ovarian Cystectomy

目的 对比开腹手术和腹腔镜手术对卵巢囊肿进行治疗的效果差异。方法 选取82例于2019年1月至2019年12月我院收治的卵巢囊肿患者,随机分为对照组41例和观察组41例。实施腹腔镜卵巢囊肿剥除术治疗的患者为观察组,实施常规开腹卵巢囊肿不突出治疗的患者为对照组,对两组患者并发症发生率、术中及术后康复指标、术后不同时间的疼痛、患者的生活质量和对治疗的满意度等进行统计和对比。结果 (1)观察组并发症为7.32%(3/41),明显低于对照组[31.71%(13/41)](P <0.05)。(2)在术中出血、手术时间、胃肠功能恢复时间、术后住院时间方面,观察组上述指标均短于对照组(P <0.05)。(3)术后2 h和术后6 h,观察组和对照组无明显的疼痛差异(P> 0.05),术后12 h、24 h、3 d,观察组的疼痛相比对照组明显减轻(P <0.05)。(4)术前两组患者无生活质量差异(P> 0.05);与术后对照组相比,观察组生活质量评分更高(P <0.05)。(5)观察组满意度为95.12%(39/41),明显高于对照组[78.05%(32/41)](P <0.05)。结论 腹腔镜卵巢囊肿剥除术治疗卵巢囊肿患者的效果较开腹手术更好,这种治疗方案更加的安全,能使患者康复周期大大缩短,减轻了术后患者的疼痛,提升其生活质量及患者的认可度和满意度,提高了患者对治疗的认可度和满意度,值得推荐。

Objective To compare the effects of laparotomy and laparoscopy in the treatment of ovarian cysts.Methods From January 2019 to December 2019,82 patients with ovarian cysts in our hospital were randomly divided into observation group and control group,with an average of 41 cases.The observation group was treated with laparoscopic ovarian cystectomy,and the control group was treated with conventional laparotomy for non-prominent ovarian cysts.The incidence of complications,intraoperative and postoperative rehabilitation indicators,postoperative pain at different times,quality of life of patients and satisfaction with treatment were statistically compared between the two groups.Results(1)The proportion of complications in the observation group(3 cases,accounting for 7.32%)was lower than that in the control group(13 cases,accounting for 31.71%)(P<0.05).(2)Compared with the control group,the observation group had less operation time,intraoperative bleeding,gastrointestinal function recovery time and postoperative hospitalization time,with statistical difference(P<0.05).(3)There was no significant difference in pain between the observation group and the control group at 2 h and 6 h after operation(P>0.05),but the pain in the observation group was significantly reduced compared with the control group at 12 hours,24 hours and 3 d after operation(P<0.05).(4)There was no difference in quality of life between the two groups preopervative(P>0.05),and the quality of life in the observation group was better than that in the control group postopervation,with statistical difference(P<0.05).(5)Patients in the observation group(39 cases,accounting for 95.12%)were more satisfied with the operation than those in the control group(32 cases,accounting for 78.05%),and there was a significant difference(P<0.05).Conclusion For patients with ovarian cysts,the effect of laparoscopic ovarian cyst seeding is better than open surgery,this treatment is safer,can greatly shorten the rehabilitation cycle of patients,reduce the pain of patients after surgery,can significantly improve the quality of life of patients,improve the recognition and satisfaction of patients with treatment,it is worth recommending.