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目的：探讨电视腹腔镜下盆腔肿块剥出术的可行性、优越性及其疗效观察。方法：腹腔镜下盆腔肿块剥出７２例与剖腹手术５４例，就其疗效、术中情况及术后恢复情况进行比较。结果：不论肿块大小，镜下手术并未增加肿块剥出时破裂的比例。同时，腹腔镜手术出血量少，术后镇痛剂及抗生素用量少，恢复快，与剖腹手术比较，差异均有显著性（Ｐ＜０．０５），仅手时间略长，费用偏高。结论：腹腔镜下盆腔肿块剥出已完全达到剖腹手术的疗效，并具有其独特的优点，尤其适合于未育患者。
Objective: To investigate the feasibility, superiority and curative effect of laparoscopic pelvic mass dissection. Methods: Laparoscopic pelvic mass stripping in 72 cases and laparotomy in 54 cases, its efficacy, intraoperative and postoperative recovery were compared. Results: Microscopic surgery did not increase the rate of rupture of the lumps, regardless of tumor size. At the same time, laparoscopic surgery less bleeding, less postoperative analgesics and antibiotics, rapid recovery, compared with laparotomy, the difference was significant (P <0.05), only a little longer time, the cost is high . Conclusion: Laparoscopic pelvic mass stripping has completely achieved the effect of laparotomy, and has its unique advantages, especially for infertile patients.