腹腔镜与传统剖腹手术治疗卵巢巧克力囊肿临床疗效对比研究

目的 对比分析腹腔镜和传统开腹手术对卵巢巧克力囊肿的治疗效果,探究有效地治疗方案。方法 80例卵巢巧克力囊肿妇女,随机分成研究组40例和对照组40例,研究组患者进行腹腔镜手术,对照组患者给予传统开腹手术,观察比较两组治疗方法的治疗效果、手术时间、住院时间以及出血量等。结果 研究组患者的出血量、排气时间、住院时间等明显低于对照组,差异具有统计学意义（P〈0.05或P〈0.01）;另外随访发现研究组患者复发人数少于对照组,而疼痛的缓解以及妊娠率方面显著优于对照组,差异具有统计学意义（P〈0.05）。结论 腹腔镜术式对患者的创伤小,侵袭性小、出血少、术后恢复快,住院时间短,节省住院费用,复发率低,是卵巢巧克力囊肿的首选治疗术式。

Comparative study of clinical effects of laparoscope and conventional laparotomy in the treatment of ovarian chocolate cyst

Objective To comparatively analyze the clinical effects of laparoscope and conventional laparotomy in the treatment of ovarian chocolate cyst, and to explore effective treatment method. Methods A total of 80 cases of oarian chocolate cysts were randomly divided into study group and control group, and each group contained 40 cases. The study group was treated by laparoscope surgery, and the control group received conventional laparotomy. Curative effects, operation time, hospital stays, and bleeding volume of the two groups were compared. Results Bleeding volume, evacuation time and hospital stays were all lower than ＂those of the control group, and the difference was statistically significant （P〈0.05 or P〈0.01）. The results of follow-up showed that recurrence patients in the study group were less than in the control group, and pain relief and pregnancy rate of the study group were significantly better than the control group. The differences between the two groups had statistical significance （P〈0.05）. Conclusion Laparoscope has the advantages of small invasion, few bleeding, fast recovery, short hospital stays, few cost and low recurrence rate, and it is the preferred method for ovarian chocolate cysts.