摘要
目的 探讨腹腔镜手术治疗卵巢良性上皮肿瘤的临床疗效,并与开腹卵巢良性肿瘤切除手术进行比较。方法选择2014年6月~2016年6月我院应用腹腔镜手术治疗卵巢良性上皮肿瘤52例作为腹腔镜组的临床资料进行分析,另选择同期行开腹卵巢良性肿瘤切除手术50例作为对照组,比较两组患者的手术时间、术后排气时间及住院时间及术中出血量情况,并比较两组患者术后的并发症发生率。结果腹腔镜组52例患者均在腹腔镜下顺利完成手术,无一例中转开腹。腹腔镜组患者手术时间、术后排气时间及住院时间分别短于对照组,组间比较存在显著差异(P<0.05)。腹腔镜组患者术中出血量明显少于对照组,组间比较存在显著差异(P<0.05)。腹腔镜患者无一例发生切口脂肪液化及血管损伤,其并发症发生率为5.77%(3/52),对照组患者术后发生切口感染6例、血管损伤3例、切口脂肪液化3例、肠梗阻6例、术后体温>38℃7例,其并发症发生率为50.00%(25/50),两组患者术后并发症发生率比较,差异具有显著性(P<0.05)。结论腹腔镜手术治疗卵巢良性上皮肿瘤的临床疗效确切,与开腹卵巢良性肿瘤切除手术进行比较存在创伤小、术中出血少及并发症少、患者术后恢复快等优点,值得广泛推广和应用。
Objective To investigate the clinical efficacy of laparoscopic surgery in the treatment of ovarian benign ep- ithelial tumors, and to compare with laparotomy of benign ovarian tumors. Methods 52 patients with ovarian benign ep- ithelial tumor who were treated with laparoscopic surgery from June 2014 to June 2016 were selected as the la- paroscopy group. Their clinical data were analyzed. Another 50 patients with open ovarian benign tumor resection dur- ing the same period were selected as the control group： the operation time, time of postoperative passage of gas, length of hospital stay and intraoperative blood loss were compared between the two groups, and the incidence rate of postop- erative complications was compared between both groups. Results 52 patients were given the laparoscopic surgery suc- cessfully in the laparoscopic group, with no case transferred to laparotomy. The operation time, time of postoperative passage of gas and length of stay in the laparoscopy group were shorter than those in the control group, and there was significant difference between the two groups（P〈0.5）. The intraoperative blood loss in the laparoscopy group was signifi- cantly lower than that in the control group, and there was significant difference between the two groups （P〈0.05）. There was no ease of incision fat liquefaction and vascular injury in the laparoscopy group, and the incidence rate of compli- cations was 5.77%（3/52）. In the control group, there were 6 cases of incision infection, 3 cases of vascular injury, 3 cases of incision fat liquefaction, 6 cases of intestinal obstruction, 7 cases of postoperative temperature 〉 38 ℃, and the inci- dence rate of complications was 50.00%（25/50）. The difference of incidence rate of postoperative complications com- pared between the two groups was statistically significant（P〈0.05）. Conclusion The clinical effect of laparoscopic surgery in the treatment of ovarian benign epithelial tumors is exact. Compared with open abdominal ovarianbenign tu- mo
作者
乐福文
俞碧霞
马海芬
LE Fuwen YU Bixia MA Haifen(Beilun District People＇s Hospital, Beilun Branch, the First Hospital of Zhejiang University, Ningbo 315800, China)
出处
《中国现代医生》
2017年第4期91-93,97,共4页
China Modern Doctor
基金
浙江省医药卫生科技计划项目(2011KYB103)
关键词
卵巢良性上皮性肿瘤
腹腔镜手术
并发症
住院时间
Ovarian benign epithelial tumors
Laparoscopic surgery
Complications
Length of hospital stay
