钟华兰

[摘要]目的 探究阴式与腹腔镜卵巢囊肿剥除治疗良性卵巢肿瘤的效果。方法 选取2014年6月～2015年9月我院收治的80例良性卵巢肿瘤患者，按照随机数表法分成观察组和对照组，每组各40例。观察组和对照组分别通过阴式卵巢囊肿剥除治疗、腹腔镜卵巢囊肿剥除治疗，比较两组临床效果。结果 两组手术时间、术中出血量、并发症情况比较，差异均无统计学意义（P>0.05）；但两组术后镇痛药物使用情况、术后首次排气时间、下床活动时间、住院时间比较，差异均有统计学意义（P<0.01）。结论 阴式和腹腔镜卵巢囊肿剥除治疗良性卵巢囊肿，均不会产生较大的创伤，利于患者尽早恢复，但前者能够达到无瘢痕的效果，且术后使用镇痛药物较少。

[关键词]阴式卵巢囊肿剥除；腹腔镜卵巢囊肿剥除；良性卵巢肿瘤

[中图分类号] R783.6 [文献标识码] A [文章编号] 1674-4721（2016）12（c）-0079-03

Therapeutic effect of ovarian cysts with benign ovarian neoplasms by transvaginal and laparoscopic

ZHONG Hua-lan

Xingguo People′s Hospital，Jiangxi Province，Xingguo 342400，China

[Abstract]Objective To explore the effect of transvaginal and laparoscopic in ovarian cyst removal of benign ovarian tumors.Methods Eighty patients with benign ovarian tumors admitted in our hospital from June 2014 to September 2015 were divided into observation group and control group according to the random number table wiwh 40 cases in each group.Observation group and control group were treated by vaginal ovarian cystectomy，laparoscopic ovarian cystectomy treatment respectively，and the clinical results of the two groups was comparied.Results There were no significant differences in the operative time，intraoperative blood loss and complication between the two groups （P>0.05）.However，the postoperative analgesic use，the first exhaust time，the ambulation time in the two groups had statistically significant difference （P <0.01）.Conclusion Ovarian cyst and laparoscopic ovarian cysts can be used for the treatment of benign ovarian cysts without any trauma，which is beneficial to the early recovery of the patients.However，the former can achieve the effect without scars and less postoperative analgesic drugs.

[Key words]Transvaginal ovarian cystectomy；Laparoscopic ovarian cystectomy；Benign ovarian tumor

良性卵巢肿瘤属于妇产科的常见病、多发病，在各个年龄段女性中都可能发作，一般多在月经初潮早期、绝经晚期、没有生育的女性人群中发病。良性卵巢肿瘤主要临床症状为腹部疼痛、腹部肿块和发热、食欲减退等，严重情况下还会对患者的正常生活构成威胁。严重者甚至会发生恶性病变，危及患者的生命健康，因此对其进行尽早治疗对保证患者的生命安全极为重要。以往，临床方面多通过开腹手术治疗，手术会对患者造成严重的手术创伤，治疗效果并不理想。相关报道显示[1]，经腹腔镜下行卵巢肿瘤剥除、阴式卵巢囊肿剥除治疗良性卵巢肿瘤的效果均较好。为此，本次研究选取近年来我院收治的80例良性卵巢肿瘤患者，观察不同治疗方式对这类病症患者的治疗效果。

1资料与方法