腹腔镜手术与开腹手术治疗良性卵巢肿瘤的临床效果对比分析

目的 探讨腹腔镜下卵巢良性肿瘤剥除术临床效果和技巧.方法 收集我院2010年12月~2012年2月111例卵巢良性肿瘤,其中70例行腹腔镜手术与同期41例开腹手术进行对照.结果 腹腔镜组术中出血量、手术时间与经腹手术组比较无明显差异(P>0.05),但腹腔镜组肛门排气时间、术后住院天数明显短于经腹手术组(P<0.01),且腹腔镜组术后仅1例用镇痛药,而开腹组有20例患者使用镇痛药,有明显差异.结论 腹腔镜手术是治疗卵巢良性肿瘤的最佳方式,术中要注意手术技巧.

Clinical effect comparative analysis of laparoscopic surgery and abdominal surgery for benign ovarian tumors

Objective To evaluate the clinical efficacy and technique of benign ovarian tumor excision under laparoscope.Methods 111 cases of patients with benign ovarian tumor hospitalized in our hospital from December 2010 to February 2012 were divided into a laparoscopie surgery group(70 cases) and an abdominal surgery group(41 cases).The clinical effect and surgical complications of the two groups were compared and analyzed.Results There was no significant difference between the laparoscopic group and the abdominal surgery group in the intraoperative blood loss and the operative time.But the anus exhaust time and the days of postoperative hospital stay was significantly shorter in the laparoscopic group than in the abdominal surgery group.There was only one patient in the laparoscopic group using analgesics,there was 20 patients in the abdominal surgery group using analgesics.There was significant difference in the two groups.Conclusions The laparoscopic surgery is the best way for the treatment of benign ovarian tumor.We must pay attention to the surgical techniques.