腹腔镜对比开腹手术治疗卵巢囊肿的临床观察

目的对比腹腔镜与开腹手术治疗卵巢囊肿的安全性和应用价值。方法我院2009年1月～2011年1月收治的卵巢囊肿患者107例,根据患者意愿及病情分为两组,其中腹腔镜组56例,开腹手术组51例。比较两组患者术中出血量、手术时间、术后肛门排气时间和住院总费用等指标。结果腹腔镜组2例患者因腹腔广泛粘连而中转为开复手术,其他患者顺利完成手术,无围手术期死亡病例。与开腹手术相比,腹腔镜组患者术中出血量较少(p<0.001)、术后肛门排气较早(p<0.001);但住院费用较高(p<0.001)。两组患者手术时间差别无统计学意义(p=0.37)。结论腹腔镜下卵巢囊肿切除术创伤小、恢复快、但住院费用相对较高。

LAPAROSCOPY COMPARED WITH LAPAROTOMY ON OVARIAN CYST

Objective To evaluate the safety and application value of laparoscopy compared with laparotomy in the treatment of ovarian cyst. Methods 107 cases of ovarian cyst treated by laparoscipie or laparotomy from Janu- ary 2009 to January 2011 in our hospital and were analyzed retrospectively. The patients was divided into laparoscipic group （56 cases） and laparotomy group（51 cases） according to clinical features and the patients＇ will. The operation time, blood loss, postoperative anal exhaust time and total cost of hospitalization were recorded. Results No periop- erative death was observed in the two groups. 2 patients in the laparoscipic group were turned to laparotomy because of extensive adherence. Laparoscopy has less amount of blood loss （p 〈0. 001 ）, earlier anal discharge （p 〈0. 001 ）. But it has higher hospital charges （p 〈0. 001 ）. There was no significant difference in operation time （p =0. 37） be- tween the two groups. Conclusion Laparoscopy was safe, less invasive, faster recovery for treating ovarian cyst, but the costs was relatively higher compared with laparotomy.