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目的研究巨大卵巢囊肿行腹腔镜手术的临床治疗效果。方法 54例卵巢囊肿患者,随机分为实验组(28例)和对照组(26)例。实验组患者使用行腹腔镜手术治疗,对照组患者行开腹手术治疗。比较两组临床疗效。结果实验组患者平均囊肿直径(17.3±7.6)cm,对照组患者平均囊肿直径为(16.8±8.8)cm,比较差异无统计学意义(P>0.05)。实验组患者囊肿剥除手术的平均时间为(60.5±20.4)min,切除手术平均时间为(40.8±16.8)min,失血量为(50.2±21.9)ml,术后住院时间为(3.2±1.8)d,对照组患者囊肿剥除手术的平均时间为(54.2±19.5)min,切除手术平均时间为(50.9±18.5)min,失血量为(90.8±37.5)ml,术后住院时间为(7.2±2.9)d,两组各指标比较差异具有统计学意义(P<0.05)。结论行腹腔镜手术进行巨大卵巢囊肿切除治疗,创伤小,术后恢复速度快,较之传统开腹手术,效果显著,具有临床推广价值。
Objective To study the clinical effect of laparoscopic surgery for giant ovarian cysts. Methods 54 patients with ovarian cysts were randomly divided into experimental group (28 cases) and control group (26 cases). Patients in the experimental group underwent laparoscopic surgery and patients in the control group underwent laparotomy. The clinical efficacy of the two groups were compared. Results The mean cyst diameter of the experimental group was 17.3 ± 7.6 cm, while the average cyst diameter of the control group was (16.8 ± 8.8) cm, with no significant difference (P> 0.05). The average time of cyst excision in the experimental group was (60.5 ± 20.4) min, the average time of resection was (40.8 ± 16.8) min, the blood loss was (50.2 ± 21.9) ml and the postoperative hospital stay was (3.2 ± 1.8) d, the average time of cyst excision in the control group was (54.2 ± 19.5) min, the average time of resection was (50.9 ± 18.5) min, the blood loss was (90.8 ± 37.5) ml, the postoperative hospital stay was (7.2 ± 2.9) d, the difference between the two groups was statistically significant (P <0.05). Conclusions Laparoscopic surgery for giant ovarian cyst resection has the advantages of less trauma and faster postoperative recovery than traditional laparotomy, which has a significant clinical value.