腹腔镜与开腹手术治疗良性卵巢囊肿的疗效分析

目的:探讨腹腔镜手术治疗卵巢囊肿的临床应用价值。方法:回顾分析2007年1月至2008年1月在我院分别接受腹腔镜与开腹手术治疗卵巢囊肿的患者各32例。结果:腹腔镜组切口明显小于开腹组,术中出血量、手术时间明显少于开腹组,两组比较差异均具有统计学意义(P<0.001);腹腔镜组患者术后镇痛药物使用人数明显少于开腹组(P<0.001),术后肠蠕动恢复时间、住院天数明显短于开腹组(P<0.001),术后工作恢复时间、术后病率明显优于开腹组(P<0.05)。结论:腹腔镜下卵巢囊肿手术安全有效,具有创伤小、术后恢复快、住院时间短及术后病率低等特点。

Therapy Effect of Laparoscopic Operation and Laparotomy in Treatment of Benign Ovarian Cyst

Objective:To explore the value of laparoscopic operation in the treatment of benign ovarian cyst.Method:Clinical data of 32 patients respectively with benign ovarian cysts treated by laparoscopic operation and laparotomy from Jan.2007 to Jan.2008 in our hospital were analyzed retrospectively.Result:The incisal opening of laparoscopic operation group was shorter than that of laparotomy group(P<0.001).The volume of blood,time of operation were significant different in the two groups(P<0.001).And in laparoscopic operation group,number of people in using pain-killer was fewer(P<0.001),duration of enterocinesia recovery and hospital days were shorter(P<0.001),duration of recovery to work and complications after operation were fewer(P<0.05).Conclusion:Laparoscopic operation for benign ovarian cysts is an effective and safe method,which is characterized with minimal invasion,quick recovery,short hospitalization and few complication after operation.