腹腔镜联合左下腹小切口与开腹手术治疗巨大卵巢囊肿疗效

Curative effect analysis of laparoscopic combined with small left lower abdominal incision surgery and laparotomy for treating giant ovarian cysts

目的:探讨腹腔镜联合左下腹小切口与开腹手术治疗巨大卵巢囊肿临床疗效差异。方法:回顾性分析2012年1月—2019年12月本院治疗的80例巨大卵巢囊肿患者临床资料,其中腹腔镜联合左下腹小切口手术患者40例(腹腔镜组),开腹手术患者40例(开腹组),比较分析两组手术时间、术中出血量、肿瘤囊液外漏率、术后排气时间、首次离床活动时间、术中术后并发症、术后住院时间等。结果:腹腔镜组手术时间(82min)、术后排气时间(9.0h)、首次离床活动时间(12.5±1.9 h)、术后住院时间(5.0d)均低于开腹组(102min、21.0h、22.8±1.7 h、8.0d)(P<0.05),两组术中出血量(30ml)、肿瘤囊液外溢率(7.5%)、术中术后并发症(5.0%)与开腹组(30ml、5.0%、12.5%)无差异(P>0.05)。结论:在合理筛选病例前提下,腹腔镜联合左下腹小切口较开腹手术治疗巨大卵巢囊肿,手术切口小、手术时间短、术后恢复快,囊肿囊液外溢率无明显差异,初步证实了该方法应用于妇科巨大卵巢囊肿的优势。

Objective:To explore the efficacy of laparoscopic combined with small left lower abdominal incision and laparotomy in the surgical treatment of the giant ovarian cysts.Methods:The clinical data of 80patients with giant ovarian cysts who had been treated from January 2012to December 2019were analyzed retrospectively.Among them,40 patients who underwent laparoscopic combined left lower abdominal small incision surgery for treating their giant ovarian cysts were included in the experimental group,and 40patients who underwent laparotomy for treating their giant ovarian cysts were included in the control group.The operation time,the intraoperative blood loss,the cyst fluid leakage rate,the postoperative exhaust time,the first getting out of bed time,the intraoperative and postoperative complications rates,and the postoperative hospital stay time of the patients were analyzed and were compared between the two groups.Results:The operation time(82min),the postoperative exhaust time(9.0h),the first getting out of bed time(12.5±1.9h),and the postoperative hospitalization time(5.0d)of the patients in the experimental group were significantly lower than those(102min,21.0h,22.8±1.7h,and 8.0d)of the patients in the control group.The intraoperative blood loss(30ml),the cyst fluid leakage rate(7.5%),the rate of intraoperative and postoperative complications(5.0%)of the patients in the experimental group had no significantly different from those(30ml,5.0%,and 12.5%)of the patients in the control group.Conclusion:For the reasonable screened patients with giant ovarian cysts,comparing with those of laparotomy in the treatment of giant ovarian tumors,laparoscopy combined with small left lower abdominal incision has smaller laparotomy,shorter operation time,faster postoperative recovery,and has the similar rate of cyst fluid leakage,which preliminarily confirms the advantages of laparoscopy combined with small left lower abdominal incision for treating the gynecological giant cysts.