ISSN 1004-6879

CN 13-1154/R

 

承德医学院学报 ›› 2017, Vol. 34 ›› Issue (2): 102-104.

• 临床医学 • 上一篇    下一篇

腹腔镜、经阴道、开腹手术卵巢肿瘤切除术临床对比分析

谢勇辉   

  1. 龙川县人民医院妇产科,广东河源 517300
  • 收稿日期:2016-06-03 出版日期:2017-04-10 发布日期:2021-11-26
  • 通讯作者:

CLINICAL COMPARATIVE ANALYSIS OF LAPAROSCOPIC SURGERY, TRANSVAGINAL OPERATION AND OPEN SURGERY IN TREATMENT OF OVARIAN TUMOR

XIE Yong-hui   

  1. Obstetrics and Gynecology of Longchuan County People’s Hospital, Guangdong Heyuan 517300, China
  • Received:2016-06-03 Online:2017-04-10 Published:2021-11-26

摘要: 目的: 比较腹腔镜、经阴道和开腹手术卵巢肿瘤切除术的临床效果。方法: 180例卵巢良性肿瘤患者中腹腔镜组70例、阴式组54例、开腹组56例,分别采用三种手术方式治疗。记录三组患者手术时间、住院时间、术后首次排气时间、出血量和术后镇痛泵使用率;术后3个月时对患者进行随访,记录患者满意度、痊愈率、月经和并发症发生情况。结果: 三组患者手术时间、痊愈率、月经规则人数比较,差异无统计学意义(P>0.05)。腹腔镜组和阴式组住院时间、术后排气时间、出血量、术后镇痛泵使用率、并发症发生率比较差异无统计学意义(P>0.05),但均明显低于开腹组(P<0.05);腹腔镜组和阴式组满意度比较差异无统计学意义(P>0.05),但明显高于开腹组(P<0.05)。结论: 腹腔镜和阴式手术治疗卵巢良性肿瘤具有创伤小,术后并发症少,康复快的优点。但在具体的临床操作中应严格筛选手术禁忌症和适用症,避免术中中转开腹,增加患者痛苦和费用及并发症的发生率。

关键词: 卵巢肿瘤, 腹腔镜手术, 经阴道手术, 开腹手术

Abstract: Objective: To compare the clinical effects of laparoscopic surgery, transvaginal operation and open surgery for ovarian tumor. Methods: 180 cases of benign ovarian tumor patients were divided into laparoscopic surgery group (n=70), transvaginal operation group (n=54) and open surgery group (n=56), and the patients in each group were treated with corresponding surgery. The operation time, hospital stays, first exhaust time, amount of bleeding and utilization rate of analgesic pump of patients in 3 groups were compared. The patients were followed up 3 months after operation and recorded satisfaction, cure rate, menstruation and complications of patients. Results: There had no statistical significance about operation time, cure rate and ratio of menstrual rules of 3 groups (P>0.05). There had no statistical significance of hospital stays, first exhaust time, amount of bleeding, utilization rate of analgesic pump, satisfaction and incidence rate of complications between laparoscopic surgery group and transvaginal operation group (P>0.05); But the satisfaction of patients in laparoscopic surgery group and transvaginal operation group was obviously higher than open surgery group, and other indexes were obviously lower (P<0.05). Conclusions: Treating ovarian tumor with laparoscopic surgery and transvaginal operation has the advantages of little injury, fewer complications and fast recovery. But clinical doctors should grasp the indications and contraindications strictly to decrease suffering, cost and complications.

Key words: Ovarian tumor, Laparoscopic surgery, Transvaginal operation, Open surgery

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