腹腔镜卵巢囊肿水垫加吸引器水分离法与开腹卵巢囊肿手工剥除法的对比研究(附60例报告)  

A comparison between laparoscopic ovarian cyst water cushion plus aspirator water separation and open manual decollement:with a report of 60 cases

作　　者：焦晓梅 穆春华[1] 宋丽[1] 吴慧英[1] 朱京津[1] 应小燕[1] 

机构地区：[1]泗阳县人民医院,江苏宿迁223700

出　　处：《腹腔镜外科杂志》2015年第12期906-908,共3页Journal of Laparoscopic Surgery

摘　　要：目的:探讨腹腔镜卵巢囊肿水垫加吸引器水分离法与开腹卵巢囊肿手工剥除法的临床应用价值。方法:对2012年1月至2014年10月收治的60例卵巢囊肿患者行手术治疗,患者经药物治疗效果不佳,或卵巢囊肿持续存在半年以上,其中30例行含水分离法(实验组),30例行开腹手术(对照组),对比分析两组手术情况。结果:两组患者病程、病因、肿瘤直径、肿瘤性质、部位差异无统计学意义(P>0.05)。实验组手术时间、术中出血量、术后进食时间、下床活动时间明显优于对照组,差异有统计学意义(P<0.05)。结论:腹腔镜卵巢囊肿水垫加吸引器水分离法具有出血少、创伤小、康复快、并发症少、切口美观、抗生素使用率低等优点,治疗效果可靠,缩短了住院时间,最大可能地保留了正常卵巢组织,值得推广应用。Objective： To investigate the clinical application value of laparoscopic ovarian cyst water cushion plus aspirator water separation and open manual decollement. Methods：Sixty patients with ovarian cyst whose drug treatment was not curative or ovarian cyst persisted for more than half a year received surgery from Jan. 2012 to Oct. 2014 ,they were equally separated into 2 groups ,30 patients with laparoscopic water separation were selected as experiment group, and 30 patients with open surgery were selected as control group. Retrospective analysis was made. Results ： No statistically significant differences were found in the comparison of clinical course, etiology, tumor diameter, nature, position （ P 〉 0.05 ）. The average operation time, intraoperative bleeding, postoperative eating time and ambulation time of experimental group were significantly less than those of the control group （ P 〈 0.05 ）. Conclusions ： Using water for shelling out of the ovarian cyst with water cushion and aspirator by laparoscopy has following advantages ：little blood loss, minimal trauma, quick recovery ,few complications, cosmetic incision, low rate of antibiotic usage, exact therapeutic effect and short hospitalization time, preserving the normal ovarian tissue as much as possible. This gynecologic surgery is worthy of promotion.

关 键 词：卵巢囊肿 囊肿剥除术 腹腔镜检查 剖腹术 水分离法 

分 类 号：R737.31[医药卫生—肿瘤]