中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
20期
3143-3144
,共2页
卵巢%腹腔镜%手术%囊肿
卵巢%腹腔鏡%手術%囊腫
란소%복강경%수술%낭종
Ovary%Laparoscopy%Surgery%Cyst
目的：探讨腹腔镜治疗未生育女性巨大卵巢囊肿手术疗效。方法选择未生育女性患者46例，根据手术方式不同分为两组，腹腔镜组和开腹组各23例。腹腔镜组采用腹腔镜下气腹穿刺手术治疗，开腹组采用传统开腹方式。手术前给予两组患者阴道冲洗和脐部清洗。术前给予预防性抗生素。比较两组手术时间、术后出血量、排气时间、住院时间、术后疼痛例数、月经情况和日常生活能力恢复时间。结果开腹组的手术时间为（68．3±12．3）min；腹腔镜组（59．6±11．5）min；腹腔镜组手术时间均少于开腹组（t＝4．26， P＜0．05）；腹腔镜组术后疼痛例数为11例（47．8％），开腹组术后疼痛21例（91．3％）。腹腔镜组术后疼痛发生率小于开腹组（χ2＝10．3，P＜0．05）。结论腹腔镜治疗未生育女性巨大卵巢囊肿手术时间短、手术出血少、排气时间快、住院时间短、疼痛小、日常生活能力恢复快，值得推广使用。
目的：探討腹腔鏡治療未生育女性巨大卵巢囊腫手術療效。方法選擇未生育女性患者46例，根據手術方式不同分為兩組，腹腔鏡組和開腹組各23例。腹腔鏡組採用腹腔鏡下氣腹穿刺手術治療，開腹組採用傳統開腹方式。手術前給予兩組患者陰道遲洗和臍部清洗。術前給予預防性抗生素。比較兩組手術時間、術後齣血量、排氣時間、住院時間、術後疼痛例數、月經情況和日常生活能力恢複時間。結果開腹組的手術時間為（68．3±12．3）min；腹腔鏡組（59．6±11．5）min；腹腔鏡組手術時間均少于開腹組（t＝4．26， P＜0．05）；腹腔鏡組術後疼痛例數為11例（47．8％），開腹組術後疼痛21例（91．3％）。腹腔鏡組術後疼痛髮生率小于開腹組（χ2＝10．3，P＜0．05）。結論腹腔鏡治療未生育女性巨大卵巢囊腫手術時間短、手術齣血少、排氣時間快、住院時間短、疼痛小、日常生活能力恢複快，值得推廣使用。
목적：탐토복강경치료미생육녀성거대란소낭종수술료효。방법선택미생육녀성환자46례，근거수술방식불동분위량조，복강경조화개복조각23례。복강경조채용복강경하기복천자수술치료，개복조채용전통개복방식。수술전급여량조환자음도충세화제부청세。술전급여예방성항생소。비교량조수술시간、술후출혈량、배기시간、주원시간、술후동통례수、월경정황화일상생활능력회복시간。결과개복조적수술시간위（68．3±12．3）min；복강경조（59．6±11．5）min；복강경조수술시간균소우개복조（t＝4．26， P＜0．05）；복강경조술후동통례수위11례（47．8％），개복조술후동통21례（91．3％）。복강경조술후동통발생솔소우개복조（χ2＝10．3，P＜0．05）。결론복강경치료미생육녀성거대란소낭종수술시간단、수술출혈소、배기시간쾌、주원시간단、동통소、일상생활능력회복쾌，치득추엄사용。
Objective To explore the clinical efficacy of laparoscope in the treatment of nulliparous women with tremendous ovarian cysts .Methods 46 cases of nulliparous women were divided into the two groups according to the operation method .23 cases in the laparoscopic surgery group received laparoscopic pneumoperitoneum needle treatment.23 cases in the open group were given the traditional open surgery .Before operation,the umbilical region and vagina of these patients were cleaned ,and antibiotics was given to the two groups .The operative time,postopera-tive bleeding,exhaust time,hospitalization time,the number of cases of postoperative pain ,menstrual conditions and recovery time of daily living activities were compared .Results The operative time of the laparotomy group was (68.3 ±12.3)min,which was significantly longer than (59.6 ±11.5)min of the laparoscopic surgery (t=4.26,P<0.05).The number of pain after surgery in the laparoscopic surgery group and laparotomy group were 11 cases,21 cases. The incidence rate of postoperative pain in the laparoscopic surgery group was 47.8%,which was significantly lower than 91.3% in the laparotomy group (χ2 =10.3,P<0.05).Conclusion Laparoscopic treatment for nulliparous women with ovarian cysts showed shorter operative time ,less blood loss ,faster exhaust time ,shorter hospital stay ,less pain and faster recovery .This surgery scheme deserved to be introduced and further studied .
