摘要
目的通过比较腹腔镜与开腹手术治疗卵巢良性畸胎瘤的临床效果,探讨腹腔镜手术在良性卵巢畸胎瘤治疗中的优势。方法选取我院2016年1月-2017年9月收治的良性卵巢畸胎瘤患者共64例为研究对象,并根据手术方式分为两组。其中,腹腔镜下治疗患者32例,开腹手术治疗患者32例,观察和比较两组患者手术时间、术中失血量、术后排气时间,住院时间、术后下床活动时间、住院费用。结果两组患者年龄、下腹部手术史、肿瘤的大小、手术时间、术中失血量等方面比较差异无统计学意义(P>0.05)。腹腔镜组术后排气时间、住院时间、术后下床活动时间均明显短于开腹组,住院费用高于开腹组(P<0.001或P<0.05)。结论腹腔镜行良性卵巢畸胎瘤剔除术住院费用稍高,但其具有术后恢复快,住院时间短等优点。
Objective To compare the clinical efficacy of laparoseopy and laparotomy in benign ovarian embryoma cystectomy and explore the advantages of laparoscopic surgery in the treatment of benign ovarian teratoma.Methods Totally 64 patients suffered benign ovarian teratoma were selected from January 2016 to September 2017,including 32 patients with performed laparoscopic ovarian cystectomy,and 32 patients with open surgery.The operation time,intraoperative blood loss,postoperative exhaust time,hospital stay,postoperative ambulation time and hospitalization cost were observed and compared between the two groups.Results There was no difference in the aspects of age,laparotomy history,the size of teratoma,operating time and intraoperative blood loss between two groups(P>0.05).Compared with laparotomy group,the laparoscopy group achieved a significant reduction in gastrointestinal recovery time and hospital stay,and got significantly earlier activity of off-bed but more hospitalization cost(P<0.01 or P<0.05).Conclusion Laparoscopic benign ovarian teratoma resection had advantages of fast recovery and short hospital stay,though it cost slightly more in hospitalization.
作者
朱永利
胡春秀
舒晗
ZHU Yongli;HU Chunxiu;SHU Han(Gynecology and Obstetrics Department,Tongling People’s Hospital,Tongling,Anhui,244000,China)
出处
《肿瘤药学》
CAS
2018年第5期815-817,821,共4页
Anti-Tumor Pharmacy
