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目的:比较腹腔镜术与开腹术两种方法行良性卵巢囊肿手术的效果。方法:将妇科手术治疗的150例良性卵巢囊肿患者随机分为腹腔镜组(73例)和开腹术组(77例),对两组患者的特征及手术效果进行回顾比较分析。结果:两组在年龄、剖腹术史、囊肿大小、病理类型、手术时间等方面差异无显著性(P>0.05),而在术后发热率、对镇痛药的需求、术后住院日及恢复时间,腹腔镜组显著减少(P<0.01或P<0.05)。结论:在严格选择病例的前提下进行腹腔镜下卵巢囊肿手术,创伤小,术后恢复快,优于传统的开腹手术,有较大的应用价值。
Objective: To compare the effects of laparoscopy and laparotomy on benign ovarian cysts. Methods: 150 cases of benign ovarian cyst treated by gynecological surgery were randomly divided into laparoscopic group (73 cases) and open group (77 cases). The characteristics of the two groups were compared and analyzed. Results: There was no significant difference in age, history of cesarean section, size of cyst, pathological type and operation time between the two groups (P> 0.05), but the postoperative fever rate, the demand for analgesics, postoperative hospital stay and Recovery time, laparoscopic group significantly reduced (P <0.01 or P <0.05). Conclusion: Laparoscopic laparoscopic ovarian cyst surgery with less trauma and faster recovery after strict selection of cases has advantages over traditional laparotomy and has great value in application.