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目的探讨腹腔镜下卵巢良性肿瘤手术技巧。方法回顾分析200例卵巢良性肿瘤包括巨大卵巢肿瘤、卵巢巧克力囊肿以及并发不孕症的腹腔镜下手术技巧。并与同期开展的100例开腹手术作为对照组。结果 200例在腹腔镜下顺利完成,手术时间最长90min,最短20min,瘤体直径最大者30cm,最小约3cm,2例双侧巧克力囊肿手术中发现粘连较重,转为开腹手术。两组患者术中出血量、体温恢复正常时间及住院时间相比较差异有显著性(P<0.05)。两组手术时间相比较无显著差异性(P>0.05)。结论腹腔镜手术治疗卵巢良性肿瘤的临床效果较为理想,术后患者的恢复速度也较快,对患者伤害较小,是目前治疗卵巢良性肿瘤的最佳方法。
Objective To investigate the surgical technique of laparoscopic benign ovarian tumors. Methods Retrospective analysis of 200 cases of benign ovarian tumors, including large ovarian tumors, ovarian chocolate cysts and infertility laparoscopic surgical techniques. And with the same period carried out 100 cases of laparotomy as a control group. Results 200 cases were successfully completed by laparoscopy. The longest operation time was 90 min and the shortest was 20 min. The diameter of the tumor was 30 cm and the minimum was about 3 cm. Two cases of bilateral chocolate cyst were found to have severe adhesions and were converted to laparotomy. There was a significant difference between the two groups in the amount of blood loss, body temperature recovery time and hospital stay (P <0.05). There was no significant difference between the two groups in operation time (P> 0.05). Conclusion Laparoscopic surgery for the treatment of benign ovarian tumors is more ideal clinical results, postoperative recovery of patients faster, less damage to patients is the best method for the treatment of benign ovarian tumors.