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目的:探讨应用腹腔镜手术治疗良性卵巢肿瘤的疗效。方法:总结我院2006年1月～2009年6月因单纯性卵巢囊肿、良性畸胎瘤和巧克力囊肿而行腹腔镜手术患者共143例。随机抽取同期卵巢肿瘤开腹手术106例(剖腹组)作为对照。比较两组的住院费用,手术时间、出血量、肛门排气时间、术后平均住院日、术后发热、抗生素应用时间、镇痛剂使用情况等。结果:两组手术时间,住院费用比较差异无统计学意义(P>0.05),腹腔镜组术中出血量、术后体温、肛门排气时间、住院时间、留置导尿管时间等均明显少于剖腹组,差异有统计学意义(P<0.01)。结论:腹腔镜手术治疗良性卵巢肿瘤是一种安全、有效的术式,出血少、恢复快,可作为治疗卵巢良性肿瘤的首选方法。
Objective: To investigate the efficacy of laparoscopic surgery for benign ovarian tumors. Methods: A total of 143 patients undergoing laparoscopic surgery for simple ovarian cyst, benign teratoma and chocolate cyst from January 2006 to June 2009 in our hospital were enrolled. 106 cases of laparotomy (caesarean section) were randomly selected as the control. The hospitalization costs, operation time, amount of bleeding, anal exhaust time, postoperative average length of stay, postoperative fever, antibiotic application time and analgesic usage were compared between the two groups. Results: There was no significant difference in operation time and hospitalization cost between the two groups (P> 0.05). The amount of bleeding, postoperative body temperature, anal exhaust time, hospital stay and indwelling catheter were all significantly lower in laparoscopic group In the Caesarean section, the difference was statistically significant (P <0.01). Conclusion: Laparoscopic surgery for benign ovarian tumors is a safe and effective procedure, with less bleeding and faster recovery. It can be used as the first choice for the treatment of benign ovarian tumors.