摘要
目的:探讨悬吊式腹腔镜手术治疗良性卵巢肿物的临床疗效。方法:收集本院2013年1月-2014年5月诊治的57例良性卵巢肿物患者作为研究对象,按照随机数字表法将其分为试验组29例和对照组28例,对照组患者采用传统开腹手术治疗,试验组采用悬吊式腹腔镜手术治疗,对两组患者的手术时间、术后排气时间、住院时间、术中出血量、疼痛程度、并发症发生情况进行对比分析。结果:研究结果显示,试验组患者的平均手术时间、平均术后排气时间、平均住院时间均明显短于对照组,术中出血量明显少于对照组,比较差异均有统计学意义(P<0.05),但两组患者的平均疼痛程度评分比较差异无统计学意义(P>0.05)。试验组中仅有2例患者发生并发症,包括2例腹壁下动脉损伤,通过及时缝扎后愈合,未出现感染、腹壁切口疝等并发症,随访观察预后良好,并发症发生率为6.90%;对照组有9例患者发生并发症,包括3例腹壁下动脉损伤,3例切口感染和3例腹壁切口疝,并发症发生率为32.14%,试验组的并发症发生率明显低于对照组,差异有统计学意义(字2=5.83,P=0.02)。结论:悬吊式腹腔镜手术治疗良性卵巢肿物具有良好的临床疗效,能有效缩短手术时间和住院时间,减少术中出血量,降低并发症发生率,值得临床推广应用。
Objective：To investigate the clinical curative effect of suspensory laparoscopic surgery in the treatment of benign ovarian tumor.Method：57 patients with benign ovarian tumor in our hospital from January 2013 to May 2014 were collected as the research objects.They were divided into the experimental group for 29 cases and the control group for 28 cases according to the random number table method.The control group was treated with traditional open surgery,the experimental group was treated with suspensory laparoscopic surgery.The operation time,postoperative exhaust time,hospitalization time,intraoperative blood loss,pain degree and the incidence of complications between the two groups were compared and analyzed.Result：Results showed that the average operation time,average postoperative exhaust time,average hospitalization time of the experimental group were significantly shorter than those of the control group,the intraoperative blood loss of the experimental group was significantly less than the control group,the differences were statistically significant（P〈0.05）.Only 2 patients had complications in the experimental group,including 2 cases of abdominal injury,through timely suture were healed,no complications such as infection,abdominal incision hernia and so on,follow-up prognosis was good,the incidence rate of complications was 6.90%.In the control group,there were 9 cases with complications,including 3 cases of abdominal injury, 3 cases of incision infection and 3 cases of abdominal incision hernia,the incidence rate of complications was 32.14%.The incidence rate of complications in the experimental group was significantly lower than the control group,the difference was statistically significant（Х^2=5.83,P=0.02）.Conclusion：The clinical curative effect of suspensory laparoscopic surgery in the treatment of benign ovarian tumor is good,can effectively shorten the operation time and hospitalization time,reduce the amount of bleeding during the operation,reduce the incidence of complications,is worthy of clinical popularization and application.
出处
《中国医学创新》
CAS
2015年第20期154-156,共3页
Medical Innovation of China
