[目的]探讨腹腔镜手术治疗卵巢良性肿瘤的临床价值.[方法]将2008年1月- 2010年11月大连医科大学附属第二医院收治的卵巢肿瘤患者90例,分为两组.腹腔镜手术组45例,开腹手术组45例,比较两组手术时间、手术出血量及术后体温变化、术后肛门排气时间等指标.[结果]腹腔镜组3例中转开腹.两组患者术后均无严重并发症,术后病理结果均为良性.腹腔镜手术组手术时间与开腹组比较差异无显著性意义(P＞0.05).腹腔镜组术中出血量及术后肛门排气时间、术后24 h及72 h发热情况、术后镇痛情况及平均住院天数均明显优于开腹组(P＜0.05).[结论]腹腔镜手术治疗卵巢良性肿瘤具有创伤小、痛苦少、恢复快等优点,是治疗卵巢良性肿瘤的一种安全、有效的术式.%[Objective] To investigate the superiority of laparoscopy versus laparotomy in the treatment of benign ovarian cysts. [ Methods ] Retrospective comparative analysis of 90 patients who underwent laparoscopy or laparotomy for ovarian cysts in the Second Affiliated Hospital of Dalian Medical University from January 2008 to November 2010. They were divided into the laparoscopy group (45 cases) and the laparotomy group (45 cases). Operation time,blood loss,period of postoperative exhaust and postoperative fever were compared between the two groups. [ Results] The procedures were converted to laparotomy in 3 patients due to adhesions and intraoperative hemorrhage. There were no severe post - operative complications. Benign in all of them were indicated by postoperative pathologic diagnosis. Estimated blood loss, period of postoperative exhaust, postoperative fever,analgesic requirement and postoperative length of stay were less in patients undergoing laparoscopy than them in laparotomy group(P＜0.05). No significant differences between the two groups were recorded in terms of mean operative time (P＞0.05). [Conclusion] Operative laparoscopy has many advantages,such as minimal invasion,less pain, rapid recovery. Operative laparoscopy is a safe and effective method in the treatment of benign ovarian cyst.
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