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目的:观察腹腔镜下剥除术治疗卵巢囊肿的临床疗效。方法:选择卵巢囊肿60例,随机分为观察组和对照组各30例,观察组行腹腔镜下卵巢囊肿剥除术,对照组行传统开腹卵巢囊肿剥除术,比较两组手术时间、术中出血量、术后排气时间、术后住院天数等。结果:两组手术均获成功,观察组无一例中转开腹。(1)观察组术中出血(19.30±7.95)ml,对照组(71.42±19.35)ml,观察组术中出血量非常显著少于对照组(P<0.01);(2)观察组手术时间(38.52±7.68)min,对照组(37.34±5.30)min,两组手术时间比较,差异不显著(P>0.05);(3)观察组术后排气时间(1.8±0.5)天,对照组(2.3±0.8)天,观察组术后排气时间显著短于对照组(P<0.05);(4)观察组术后住院时间(3.3±1.8)天,对照组(6.3±1.5)天,观察组术后住院时间非常显著短于对照组(P<0.01)。结论:采用腹腔镜下剥除术治疗卵巢囊肿临床疗效较好。
Objective: To observe the clinical efficacy of laparoscopic surgery in the treatment of ovarian cysts. Methods: Sixty ovarian cysts were selected and randomly divided into observation group and control group with 30 cases each. The observation group underwent laparoscopic ovarian cyst excision. The control group received traditional laparoscopic ovarian cyst excision. The operation time, Intraoperative bleeding, postoperative exhaust time, postoperative hospital days and so on. Results: All the operations were successful in both groups. No one in the observation group was converted to open surgery. (1) In the observation group, intraoperative bleeding was (19.30 ± 7.95) ml and in the control group (71.42 ± 19.35) ml, the intraoperative blood loss in the observation group was significantly less than that in the control group (P <0.01); (2) 38.52 ± 7.68) min, and control group (37.34 ± 5.30) min respectively. There was no significant difference in operative time between the two groups (P> 0.05) 2.3 ± 0.8) days. The postoperative exhaust time in the observation group was significantly shorter than that in the control group (P <0.05). (4) The postoperative hospital stay time was 3.3 ± 1.8 days in the observation group and 6.3 ± 1.5 days in the control group. The postoperative hospital stay was significantly shorter than that of the control group (P <0.01). Conclusion: Laparoscopic surgery in the treatment of ovarian cysts clinical efficacy is better.