中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2015年
8期
1207-1209
,共3页
卵巢囊肿%妇产科手术
卵巢囊腫%婦產科手術
란소낭종%부산과수술
Ovarian cyst%Obsterics and gynecology operation
目的：比较三种手术方式治疗卵巢囊肿的效果。方法138例卵巢囊肿患者按照数字表法随机分为三组，A组46例采用开腹手术治疗，B组46例采用阴式手术治疗，C组46例采用腹腔镜手术治疗。观察三组手术情况（手术时间、术中出血量、首次排气时间、住院时间）、并发症（感染、出血、围绝经期改变），术后随访1年观察其复发率。结果 A组46例均顺利完成手术，B、C两组各有1例患者由于粘连严重而中转进行开腹手术。A组手术时间、术中出血量、首次排气时间、住院时间分别为（76．8±6．9）min、（69．1±6．4）mL、（18．6±3．6）h、（9．6±2．3）d，B组分别为（41．3±4．5）min、（33．6±4．1）mL、（10．1±2．5）h、（5．6±1．4）d，C组分别为（58．3±5．6）min、（35．6±4．9）mL、（16．8）h、（6．1±1．7）d，B、C两组的手术时间、术中出血量、住院时间均明显少于A组（t＝4．306、5．172、3．012，3．926、3．776、2．168，均P＜0．05）；B组首次排气时间明显短于A、C两组（t＝3．014、2．446，均P＜0．05）；B组手术时间明显短于C组（t＝2．748，P＜0．05）。A、B、C三组术后并发症发生率分别为39．1％、11．1％、15．6％，B、C两组的并发症发生率明显低于A组（χ2＝9.82、8.64，P＜0．01）。术后随访1年，B组复发率为11．1％，明显高于A组（2．2％）、C 组（2．2％）（χ2＝6.72、6.72，P＜0．01）。结论阴式手术和腹腔镜手术治疗卵巢囊肿创伤小，但粘连重者应行开腹治疗，进行个体化治疗。
目的：比較三種手術方式治療卵巢囊腫的效果。方法138例卵巢囊腫患者按照數字錶法隨機分為三組，A組46例採用開腹手術治療，B組46例採用陰式手術治療，C組46例採用腹腔鏡手術治療。觀察三組手術情況（手術時間、術中齣血量、首次排氣時間、住院時間）、併髮癥（感染、齣血、圍絕經期改變），術後隨訪1年觀察其複髮率。結果 A組46例均順利完成手術，B、C兩組各有1例患者由于粘連嚴重而中轉進行開腹手術。A組手術時間、術中齣血量、首次排氣時間、住院時間分彆為（76．8±6．9）min、（69．1±6．4）mL、（18．6±3．6）h、（9．6±2．3）d，B組分彆為（41．3±4．5）min、（33．6±4．1）mL、（10．1±2．5）h、（5．6±1．4）d，C組分彆為（58．3±5．6）min、（35．6±4．9）mL、（16．8）h、（6．1±1．7）d，B、C兩組的手術時間、術中齣血量、住院時間均明顯少于A組（t＝4．306、5．172、3．012，3．926、3．776、2．168，均P＜0．05）；B組首次排氣時間明顯短于A、C兩組（t＝3．014、2．446，均P＜0．05）；B組手術時間明顯短于C組（t＝2．748，P＜0．05）。A、B、C三組術後併髮癥髮生率分彆為39．1％、11．1％、15．6％，B、C兩組的併髮癥髮生率明顯低于A組（χ2＝9.82、8.64，P＜0．01）。術後隨訪1年，B組複髮率為11．1％，明顯高于A組（2．2％）、C 組（2．2％）（χ2＝6.72、6.72，P＜0．01）。結論陰式手術和腹腔鏡手術治療卵巢囊腫創傷小，但粘連重者應行開腹治療，進行箇體化治療。
목적：비교삼충수술방식치료란소낭종적효과。방법138례란소낭종환자안조수자표법수궤분위삼조，A조46례채용개복수술치료，B조46례채용음식수술치료，C조46례채용복강경수술치료。관찰삼조수술정황（수술시간、술중출혈량、수차배기시간、주원시간）、병발증（감염、출혈、위절경기개변），술후수방1년관찰기복발솔。결과 A조46례균순리완성수술，B、C량조각유1례환자유우점련엄중이중전진행개복수술。A조수술시간、술중출혈량、수차배기시간、주원시간분별위（76．8±6．9）min、（69．1±6．4）mL、（18．6±3．6）h、（9．6±2．3）d，B조분별위（41．3±4．5）min、（33．6±4．1）mL、（10．1±2．5）h、（5．6±1．4）d，C조분별위（58．3±5．6）min、（35．6±4．9）mL、（16．8）h、（6．1±1．7）d，B、C량조적수술시간、술중출혈량、주원시간균명현소우A조（t＝4．306、5．172、3．012，3．926、3．776、2．168，균P＜0．05）；B조수차배기시간명현단우A、C량조（t＝3．014、2．446，균P＜0．05）；B조수술시간명현단우C조（t＝2．748，P＜0．05）。A、B、C삼조술후병발증발생솔분별위39．1％、11．1％、15．6％，B、C량조적병발증발생솔명현저우A조（χ2＝9.82、8.64，P＜0．01）。술후수방1년，B조복발솔위11．1％，명현고우A조（2．2％）、C 조（2．2％）（χ2＝6.72、6.72，P＜0．01）。결론음식수술화복강경수술치료란소낭종창상소，단점련중자응행개복치료，진행개체화치료。
Objective To compare the effectiveness of the three operation mode in treatment of ovarian cyst. Methods According to the digital table,138 patients with ovarian cyst were divided into three groups,the group A (n=46 cases)were operated through open operation,group B (n =46 cases)were operated through transvaginal operation,group C(n=46 cases)were operated through laparoscopic operation.The three groups were observed the situation of operation (operation time,bleeding volume,the first exhaust time,hospitalizationtime ),complications (infection,hemorrhage,perimenopausal changes ),postoperative follow -up for 1 years.The recurrence rate was observed.Results Group A of 46 patients were successfully completed surgery,B,C groups of 1 patients was con-versed to laparotomy due to severe adhesion.B,C groups in the operation time,amount of bleeding during the opera-tion,the time of hospitalization were significantly less than that of group A (t=4.306,5.172,3.012,3.926,3.776, 2.168,P<0.05,P<0.01).B group was significantly less than those of A,C group in the first exhaust time (t=3.014,2.446,all P<0.05).In the operation time of group B was obviously less than that of group C (t=2.748,P<0.05).A,B,C three groups of postoperative complication rates were 39.1%,11.1%,15.6% respectively;the incidence of complications of B,C groups was lower than that in A group (χ2 =9.82,8.64,all P<0.01 ).After 1years follow-up,the recurrence rate in group B was significantly higher than that of A and C groups (χ2 =6.72, 6.72,all P<0.01).Conclusion Treatment of ovarian cyst vaginal surgery and laparoscopic surgery wound is small, but the person that weigh should be performed open adhesion treatment,individualized treatment.
