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腹腔镜手术与开腹手术治疗良性卵巢囊肿的临床对比分析 被引量:24

Comparison of therapeutic effect in treating benign ovarian cysts with laparoscopy and laparotomy
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摘要 目的:比较腹腔镜术与开腹术两种方法行良性卵巢囊肿手术的效果。方法:将妇科手术治疗的150例良性卵巢囊肿患者随机分为腹腔镜组(73例)和开腹术组(77例),对两组患者的特征及手术效果进行回顾比较分析。结果:两组在年龄、剖腹术史、囊肿大小、病理类型、手术时间等方面差异无显著性(P>0.05),而在术后发热率、对镇痛药的需求、术后住院日及恢复时间,腹腔镜组显著减少(P<0.01或P<0.05)。结论:在严格选择病例的前提下进行腹腔镜下卵巢囊肿手术,创伤小,术后恢复快,优于传统的开腹手术,有较大的应用价值。 Objective: To compare the therapeutic effect in treating benign ovarian cysts with laparoscopy and laparotomy, Methods: 150 patients with benign ovarian cysts requiring surgical management were randomly divided into laparoscopy group (73 cases) and laparotomy group (77 cases) . The characteristics of patients and the operative results were compared. Results: Age, previous laparotomy, the size of cysts, operating time and rupture rates of cysts between two groups had no significant difference ( P 〉 0.05 ) . Laparoscopy was associated with a significant reduction in postoperative fever, postoperative morbidity, analgesic requirement, hospital stay and recovery period (P 〈0. 01 or P 〈0.05 ) . Conclusion: Laparoscopy can be applied in the operative treatment of ovarian cysts on the well chosen patients, compared with abdominal operation, it has the advantages of less surgical trauma and quicker recovery.
出处 《中国妇幼保健》 CAS 北大核心 2008年第31期4494-4495,共2页 Maternal and Child Health Care of China
关键词 卵巢囊肿 腹腔镜术 开腹术 Ovarian cysts Laparoseopy Laparotomy
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