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目的分析腹腔镜治疗巨大卵巢囊肿的疗效和卫生经济学。方法 67例巨大卵巢囊肿患者随机分为两组,治疗组(35例)采取腹腔镜治疗,对照组(32例)采取开腹手术治疗,对比两组患者治疗效果及卫生经济学差异。结果两组患者手术均顺利实施,治疗组1例患者因囊内液体太黏稠无法吸出而中转开腹,治疗组术中出血量、住院时间少于对照组(P<0.05),手术时间、医疗费用对比差异无统计学意义(P>0.05)。结论腹腔镜治疗巨大卵巢囊肿具有显著疗效,经济成本与开腹手术无明显差异,值得临床推广及应用。
Objective To analyze the efficacy and health economics of laparoscopic treatment of giant ovarian cysts. Methods A total of 67 patients with giant ovarian cysts were randomly divided into two groups. The treatment group (35 cases) was treated by laparoscopy and the control group (32 cases) by laparotomy. The treatment effect and health economics were compared between the two groups. Results The operation of the two groups was successfully carried out. One patient in the treatment group was transferred to the laparotomy because of the too viscous liquid in the capsule. The bleeding volume and hospital stay in the treatment group were less than those in the control group (P <0.05) No significant difference in cost comparison (P> 0.05). Conclusion Laparoscopic treatment of giant ovarian cysts has a significant effect, no significant difference in economic costs and laparotomy, is worthy of clinical promotion and application.