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目的 :探讨电视腹腔镜诊治卵巢囊肿的临床应用价值。方法 :电视腹腔镜手术治疗 85例卵巢囊肿 ,与 80例卵巢囊肿剖腹手术进行比较。结果 :电视腹腔镜下卵巢囊肿 85例 ,其中手助式腹腔镜卵巢囊肿手术 19例。腹腔镜组、剖腹组平均出血量、手术时间、平均住院天数比较分别为 70ml、5 0min、(4± 1 3 )天和 90ml、80min、(7± 1 1)天 ,两组有显著性差异P <0 0 5。无脏器损伤及化学性腹膜炎并发症发生。结论 :电视腹腔镜手术治疗卵巢囊肿安全有效 ,巧用手助式腹腔镜完整取出囊肿 ,减少腹腔污染或种植 ,拓宽妇科手术领域 ,具有广阔的临床应用前景。
Objective: To investigate the clinical value of laparoscopic diagnosis and treatment of ovarian cysts. Methods: TV laparoscopic surgery in 85 cases of ovarian cysts, and 80 cases of ovarian cyst laparotomy for comparison. Results: There were 85 cases of laparoscopic ovarian cyst in TV, of which 19 cases were hand assisted laparoscopic ovarian cyst. The average amount of bleeding in laparoscopic group, laparotomy group, operation time and average length of hospital stay were 70ml, 50min, (4 ± 1 3) days and 90ml, 80min, (7 ± 1 1) days respectively. There was significant difference between the two groups P <0 0 5. No organ injury and chemical peritonitis complications. Conclusions: TV laparoscopic surgery for ovarian cysts is safe and effective. It is a safe and effective method for the treatment of ovarian cysts by TV-assisted laparoscopy. It can reduce the peritoneal contamination or implant and broaden the field of gynecological surgery. It has broad clinical application prospects.