腹腔镜手术治疗卵巢良性肿瘤79例临床观察

目的: 探讨腹腔镜手术治疗卵巢良性肿瘤的安全性、优越性。方法: 同期条件相当的卵巢良性肿瘤患者分别行腹腔镜下剥除术(腹腔镜组,79例)和行剖腹手术(剖腹组,82例)进行对比研究。结果: 腹腔镜组手术时间、术中出血量及术后住院日与剖腹组差异均有统计学意义(P<0.001)。腹腔镜组术后无一例使用镇痛药,术后6h全部拔除尿管并下床活动,无腹腔内出血发生;而剖腹组术后均使用镇痛药,术后24h拔除尿管并下床活动。结论: 腹腔镜手术治疗卵巢良性肿瘤具有手术时间短、术中出血少、恢复快和住院时间短等优点,是既微创又安全、可靠的手术术式,值得临床推广使用。

Clinical observation of 79 patients with benign ovarian tumor cured by peritoneoscopy

Objective: To investigate the security and excellence of peritoneoscopy in treatment of benign ovarian tumor. Methods: One hundred and sixty-one patients with benign ovarian tumor were divided into two groups. Seventy-nine patients undergoing peritoneoscopy were compared with eighty-two patients receiving laparotomy. Results: The operative time, the amounts of bleeding, the mean time of bowel function recover, the postoperative morbidity rate and the mean postoperative hospital stay were significantly less than those of laparotomy group (P<0.001). No one used analgesic drug in peritoneoscopy group. All of the peritoneoscopy group were pulled out of urinary catheter and got out of beds six hours postoperatively. But all of the laparotomy group were used analgesic drugs, were pulled out of urinary catheter and got out of beds twenty-four hours postoperatively. Conclusions: Peritoneoscopy in treatment of benign ovarian tumor is worthy of being advocated owing to its micro-incision and benefits such as shorter operative time, less blood loss, quick recovered and shorter hospital stay.