摘要
目的:探讨腹腔镜手术和开腹手术治疗卵巢良性肿瘤的临床效果和并发症情况,并作比较。方法:150例确诊为卵巢良性肿瘤的患者随机分为实验组和对照组,实验组行腹腔镜下肿瘤切除术,对照组行传统开腹手术,并作术中、术后组间相关指标、并发症发生率、卵巢功能情况比较。结果:实验组手术时间(35.2±3.4)min、术中出血量(31.4±5.6)ml、下床时间(7.3±1.8)h、肛门排气时间(11.6±3.6)h、住院天数(4.3±1.6)d均少于对照组[(64.3±4.3)min、(75.2±7.5)ml、(12.5±2.5)h、(26.5±4.5)h、(8.7±3.5)d)],差异均有统计学意义(均P<0.05)。实验组术中、术后总并发症发生率(8.0%)远低于对照组(42.7%),差异有统计学意义(P<0.05)。实验组术后6个月实验组促卵泡激素(FSH)、促黄体生成激素(LH)、雌二醇(E2)水平较术前无明显下降,对照组FSH、LH、E2水平均较术前下降(P<0.05),手术前后两组间差值比较,差异均有统计学意义(P<0.05)。结论:腹腔镜下卵巢良性肿瘤切除手术时间短,术中出血少,术后患者康复迅速,并发症发生率低,与开腹手术相比有优势,且卵巢功能保护效果较开腹手术优越。
Objective：To discuss the clinical effects and complication of peritoneoscopy and laparotomy in the treatment of the benign ovarian tumors,and to compare the results of the two methods.Methods：150 patients with benign ovarian tumors were divided into the experiment group and the control group randomly.The experiment group was treated by peritoneoscopy and the control group was treated by laparotomy.The relevant indexes,complications and ovarian function during and after the operations were compared between the two groups.Results：The operation duration [（35.2±3.4） min],surgical blood loss [（31.4±5.6） ml],time of first walk [（7.3±1.8） h],anal exhaust time [（11.6±3.6） h],hospital stay [（4.3±1.6） d] of the experiment group were all significantly less than those of the control group [（64.3±4.3） min,（75.2±7.5） ml,（12.5±2.5） h,（26.5±4.5） h,（8.7±3.5） d]（all P〈0.05）.The complication rate during and after the operation of the experiment group（8.0%） was significantly less than that of the control group（42.7%）（P〈0.05）.6 months after operation,the FSH,LH,E2 level of the experiment group reduced obviously and the FSH,LH,E2 levels of control group were also significantly reduced than those before the operation（P〈0.05）.The differences before and after the treatment of the two groups were significantly（P〈0.05）.Conclusion：Laparoscopic resection in the treatment of the benign ovarian tumors has the advantage of short operation duration,less blood loss,prompt recovery after the operation and lower complication rate,and it is better than the traditional laparotomy,meanwhile it is able to protect the ovarian function better than the laparotomy.
出处
《中国医药导报》
CAS
2011年第36期38-39,共2页
China Medical Herald
关键词
腹腔镜
卵巢良性肿瘤
开腹手术
临床疗效
卵巢功能
Peritoneoscope
Benign ovarian tumors
Laparotomy surgery
Clinical effects
Ovarian function
