良性卵巢囊肿手术方式选择的探讨

目的 比较腹式、阴式及腹腔镜下手术治疗良性卵巢囊肿的临床指标及卫生经济学指标,探讨3种手术方式的临床应用价值.方法 回顾分析227例经手术治疗卵巢囊肿患者的手术时间、失血量、住院时间、排气时间、体温恢复正常时间、下床时间、应用止痛剂情况、术后病率及住院费用等临床资料,并进行比较.结果 阴式手术及腹腔镜下手术患者与腹式手术患者相比,手术时间、失血量、住院时间、排气时间、体温恢复正常时间、下床时间、应用止痛剂情况、术后病率及住院费用间的差异均有统计学意义(P＜0.05).结论 腹腔镜下手术及阴式手术作为微创手术有一定的临床推广价值,但3种术式各有适应证与优缺点,医生要根据自己的专业技术和患者的病情以及肿瘤类型,选择恰当的手术方式.

Evaluation of Surgical Approaches for Benign Ovarian Cyst

Objective To evaluate the clinical value of laparotomy,transvaginal surgery,and laparoscopic surgery in treating benign ovarian cyst. Methods We retrospectively analyzed 227 patients with benign ovarian cyst who underwent laparotomy,transvaginal surgery,or laparoscopic surgery. The duration of the operation,amount of blood loss,hospitalization time,anal exhaust time,temperature recovery time,outof-bed time,usage of analgesics,postoperative morbidity,and hospitalization cost were analyzed. Results There were...