摘要
目的探讨腹腔镜治疗卵巢良性肿瘤的临床效果。方法选取本院2013年1月至2015年1月经术后病理证实为卵巢良性肿瘤患者114例为研究对象,并将其分为腹腔镜组和开腹组。腹腔镜组患者采取腹腔镜手术,开腹组患者采取开腹手术。比较两组患者手术一般情况、术后24小时炎性指标、补体(C3、C4)、免疫球蛋白(IgA、IgG、IgM)水平及术后发热情况。结果腹腔镜组患者手术时间、术中出血量、术后排气时间和术后住院天数均显著少于开腹组(P<0.01)。腹腔镜组患者术后24小时白细胞计数和中性粒细胞百分比均显著低于开腹组(P<0.01)。腹腔镜组患者术后24小时补体C3、C4、IgA、IgM和IgG水平均显著高于开腹组(P<0.05)。结论与开腹手术相比,腹腔镜治疗卵巢良性肿瘤具有创伤小、恢复快、炎性反应小等特点,同时对免疫系统的影响较小,值得临床推广应用。
Objective To analyze the clinical effects of laparoscopic operation in the treatment of benign ovarian tumors.Method From January 2013 to January 2015,114 patients with benign ovarian tumors in our department were randomly divided into laparoscopy group and open surgery group.Laparoscopy group patients received laparoscopic operations,open surgery group patients received open surgery.The levels of inflammatory markers,complement,immunoglobulin（Ig）,and number of patients in fever between the two groups were compared after surgery.Result Compared with open surgery group,the operation time,blood loss,postoperative discharge time and postoperative hospital stay of laparoscopy group had significantly decreased（P〈0.01）.The WBC count and neutrophil percentage after 24 hours of surgery of laparoscopy group were significantly lower than open surgery group（P〈0.01）.C3,C4,IgA,IgM and IgG after 24 hours of surgery of laparoscopy group were significantly higher than open surgery group（P〈0.05）.Conclusion Compared with open surgery,laparoscopic in the treatment of benign ovarian tumor has less trauma,faster recovery,less inflammatory response,and less impact on the immune system,which is worthy of clinical application.
出处
《中国医学前沿杂志（电子版）》
2016年第4期76-78,共3页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)
