中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2012年
2期
50-52
,共3页
卵巢囊肿%腹腔镜%剖腹术
卵巢囊腫%腹腔鏡%剖腹術
란소낭종%복강경%부복술
Ovarian cyst%Laparoscopy%Laparotomy
目的 探讨腹腔镜对比开腹手术治疗卵巢囊肿的临床价值.方法 回顾性分析2008年4月至2011年3月新野县人民医院住院并行手术治疗的170例卵巢囊肿患者,其中腹腔镜组82例,开腹手术组88例.分别记录两组患者手术时间、术中出血量、术后肛门排气时间、术后24h发热例数、住院时间及住院总费用等临床指标.结果 两组患者均顺利完成手术,无围术期死亡病例.腹腔镜与开腹手术相比术中出血量较少[(34±11)ml VS(68±17)ml,P＜0.05]、术后肛门排气较早[(16±8)h VS(22±10)h,P＜0.05]、术后24h发热例数少(13.4％VS 27.3％,P＜0.05)、住院时间短[(6.2±1.6)dVS(9.8±3.4)d,P＜0.05)]；但住院费用较高[(9103±1211)元VS(5892±1322)元,P＜0.05].两种患者手术时间比较差异无统计学意义[(56±13)min VS(51±12)min,P＜ 0.05].结论 腹腔镜卵巢囊肿切除术具有安全可靠、创伤小、恢复快、术中出血少、住院时间短等优点,但住院费用相对较高.
目的 探討腹腔鏡對比開腹手術治療卵巢囊腫的臨床價值.方法 迴顧性分析2008年4月至2011年3月新野縣人民醫院住院併行手術治療的170例卵巢囊腫患者,其中腹腔鏡組82例,開腹手術組88例.分彆記錄兩組患者手術時間、術中齣血量、術後肛門排氣時間、術後24h髮熱例數、住院時間及住院總費用等臨床指標.結果 兩組患者均順利完成手術,無圍術期死亡病例.腹腔鏡與開腹手術相比術中齣血量較少[(34±11)ml VS(68±17)ml,P＜0.05]、術後肛門排氣較早[(16±8)h VS(22±10)h,P＜0.05]、術後24h髮熱例數少(13.4％VS 27.3％,P＜0.05)、住院時間短[(6.2±1.6)dVS(9.8±3.4)d,P＜0.05)]；但住院費用較高[(9103±1211)元VS(5892±1322)元,P＜0.05].兩種患者手術時間比較差異無統計學意義[(56±13)min VS(51±12)min,P＜ 0.05].結論 腹腔鏡卵巢囊腫切除術具有安全可靠、創傷小、恢複快、術中齣血少、住院時間短等優點,但住院費用相對較高.
목적 탐토복강경대비개복수술치료란소낭종적림상개치.방법 회고성분석2008년4월지2011년3월신야현인민의원주원병행수술치료적170례란소낭종환자,기중복강경조82례,개복수술조88례.분별기록량조환자수술시간、술중출혈량、술후항문배기시간、술후24h발열례수、주원시간급주원총비용등림상지표.결과 량조환자균순리완성수술,무위술기사망병례.복강경여개복수술상비술중출혈량교소[(34±11)ml VS(68±17)ml,P＜0.05]、술후항문배기교조[(16±8)h VS(22±10)h,P＜0.05]、술후24h발열례수소(13.4％VS 27.3％,P＜0.05)、주원시간단[(6.2±1.6)dVS(9.8±3.4)d,P＜0.05)]；단주원비용교고[(9103±1211)원VS(5892±1322)원,P＜0.05].량충환자수술시간비교차이무통계학의의[(56±13)min VS(51±12)min,P＜ 0.05].결론 복강경란소낭종절제술구유안전가고、창상소、회복쾌、술중출혈소、주원시간단등우점,단주원비용상대교고.
Objective To investigate the appilication value of laparoscopy and laparotomy in treating ovarian cyst.Methods One hundred and senventy cases of ovarian cyst from April 2008 to March 2011 in our hospital were retrospec-tively analyzed.Eighty-two cases was in the laparoscopy group and 88 cases in laparotomy group.The operation time,blood loss,postoperative anal exhaust time,the patient with fever with 24 hours after operation,hospitalization time and total cost of hospitalization were recorded.Results No perioperative deaths was observed in the two groups.Laparoscopy group has less amount of blood loss [(34 ± 11)ml VS (68 ± 17)ml,P ＜ 0.05 ],earlier anal discharge [ (16 ± 8)h VS (22 ± 10)h,P ＜ 0.05 ],fewer cases with fever with 24 hours after operation(13.4％ VS 27.3％,P ＜ 0.05),and shorter hospital stay [ (6.2 ± 1.6)d VS(9.8 ± 3.4)d,P ＜ 0.05)] ; but has higher hospital charges [ (9103 ± 1211)yuan VS (5892 ± 1322)yuan,P ＜ 0.05 ].There was no significant difference in operation time [ (56 ± 13)min VS (51 ± 12)min,P ＜ 0.05 ] between the two groups.Conclusions Laparoscopy is safe,reliable,less invasive,and has faster recovery,less blood loss,shorter hospital stay in treating ovarian cyst,but the cost is relatively higher.
