腹腔镜与开腹手术治疗卵巢良性肿瘤临床疗效评价

摘要

Objective:To compare the effects of laparoscopic surgery and laparotomy in treatment of benign ovarian tumor.Meth-ods:85 cases of ovarian benign tumor patients in our hospital from March 2011 to March 2015 were selected as the observation group, and 85 patients of laparotomy in the same period were selected as the control group.The clinical indicators, postoperative complications and analgesics of the 2 groups were compared.In the following one year, the situation of menstruation and pregnancy of the willing ones were observed.Results:The amount of bleeding,operation time,exhaust time,discharge time,recovery of daily working hours in the ob-servation group were observed and they were(73.25 ±22.47) ml,(38.14 ±12.82)min,(31.22 ±9.47)h,and (5.82 ±1.69)d,and (16.34 ±7.14)d respectively,obviously better than those of the control group(P<0.01).The incidence rates of complications and us-age of analgesics in the observation group were respectively 2.35%and 41.18%,obviously decreased when compared with those of the control group’s 10.59%and 57.65%(P<0.05).There were no significant differences statistically between the 2 groups in the chan-ges of menstruation and pregnancy(P>0.05).Conclusion:With advantages of less injury and complications,laparoscopic operation in treatment of benign ovarian tumor can reduce the pain of patients and promote postoperative recovery.It is worth clinical recommenda-tion.%目的：比较腹腔镜与开腹手术治疗卵巢良性肿瘤的临床疗效。方法：将2011年3月－2015年3月行腹腔镜手术的85例卵巢良性肿瘤患者作为观察组，并选取同期85例开腹手术患者为对照组。比较2组临床指标、术后并发症和镇痛药使用情况，随访1 a，统计2组月经改变情况，有妊娠意愿者的妊娠情况。结果：观察组术中出血量、手术时间、排气时间、出院时间、恢复日常劳动时间分别为（73．25±22．47）ml，（38．14±12．82）min，（31．22±9．47）h，（5．82±1．69）d，（16．34±7．14）d，均显著优于对照组（P＜0．01）。观察组并发症发生率和镇痛药使用率分别为2．35％，41．18％，较对照组的10．59％，57．65％均明显下降（P＜0．05）。2组患者月经改变及妊娠情况比较，差异无统计学意义（P＞0．05）。结论：腹腔镜手术治疗卵巢良性肿瘤损伤小，并发症少，可减轻患者痛苦，术后康复快。