腹腔镜治疗未生育女性巨大卵巢囊肿86例疗效观察

目的：探讨腹腔镜治疗未生育女性巨大卵巢囊肿手术疗效。方法选择未生育女性患者46例，根据手术方式不同分为两组，腹腔镜组和开腹组各23例。腹腔镜组采用腹腔镜下气腹穿刺手术治疗，开腹组采用传统开腹方式。手术前给予两组患者阴道冲洗和脐部清洗。术前给予预防性抗生素。比较两组手术时间、术后出血量、排气时间、住院时间、术后疼痛例数、月经情况和日常生活能力恢复时间。结果开腹组的手术时间为（68．3±12．3）min；腹腔镜组（59．6±11．5）min；腹腔镜组手术时间均少于开腹组（t＝4．26， P＜0．05）；腹腔镜组术后疼痛例数为11例（47．8％），开腹组术后疼痛21例（91．3％）。腹腔镜组术后疼痛发生率小于开腹组（χ2＝10．3，P＜0．05）。结论腹腔镜治疗未生育女性巨大卵巢囊肿手术时间短、手术出血少、排气时间快、住院时间短、疼痛小、日常生活能力恢复快，值得推广使用。

The clinical efficacy of laparoscope in the treatment of 86 nulliparous women with tremendous ovarian cysts

Objective To explore the clinical efficacy of laparoscope in the treatment of nulliparous women with tremendous ovarian cysts .Methods 46 cases of nulliparous women were divided into the two groups according to the operation method .23 cases in the laparoscopic surgery group received laparoscopic pneumoperitoneum needle treatment.23 cases in the open group were given the traditional open surgery .Before operation,the umbilical region and vagina of these patients were cleaned ,and antibiotics was given to the two groups .The operative time,postopera-tive bleeding,exhaust time,hospitalization time,the number of cases of postoperative pain ,menstrual conditions and recovery time of daily living activities were compared .Results The operative time of the laparotomy group was （68.3 ±12.3）min,which was significantly longer than （59.6 ±11.5）min of the laparoscopic surgery （t=4.26,P〈0.05）.The number of pain after surgery in the laparoscopic surgery group and laparotomy group were 11 cases,21 cases. The incidence rate of postoperative pain in the laparoscopic surgery group was 47.8%,which was significantly lower than 91.3% in the laparotomy group （χ2 =10.3,P〈0.05）.Conclusion Laparoscopic treatment for nulliparous women with ovarian cysts showed shorter operative time ,less blood loss ,faster exhaust time ,shorter hospital stay ,less pain and faster recovery .This surgery scheme deserved to be introduced and further studied .