刘芳

[摘要] 目的 探讨腹腔镜卵巢囊肿剥除术治疗良性卵巢囊肿的效果。 方法 收集2017年1月～2018年1月我院收治的80例良性卵巢囊肿患者，随机分为两组（对照组，n=40，采取开腹手术；观察组，n=40，采取腹腔镜手术），观察两组各项手术观察指标及术后并发症情况。 结果 观察組患者手术时间、术中出血量、住院时间均少于对照组，差异有统计学意义（P<0.05）。术后病理结果显示，两组差异无显著性（P>0.05）。观察组患者治疗后的总有效率显著高于对照组（P<0.05）。观察组患者术后出现腹痛1例、发热1例，对照组术后出现腹痛3例、感染2例、发热1例、腹腔脏器粘连2例，两组并发症发生率分别为5%、20%，两组比较差异有统计学意义（P<0.05）。 结论 腹腔镜卵巢囊肿剥除术治疗良性卵巢囊肿临床手术效果确切，并发症少，安全性好，且具有缩短手术时间、减少术中出血量，有利于促进术后恢复。

[关键词] 腹腔镜卵巢囊肿剥除术；良性卵巢囊肿；并发症；手术时间

[中图分类号] R737.31 [文献标识码] B [文章编号] 1673-9701（2018）30-0045-03

[Abstract] Objective To investigate the effect of laparoscopic ovarian cystectomy in the treatment of benign ovarian cysts. Methods A total of 80 patients with benign ovarian cysts who were admitted to our hospital from January 2017 to January 2018 were collected and randomly divided into two groups （control group， n=40， receiving open surgery； observation group， n=40， receiving laparoscopic surgery）. The surgical observation indices and postoperative complications of the two groups were observed. Results The surgery time of the patients， the amount of intraoperative blood loss and the length of hospital stay in the observation group were significantly shorter than those in the control group. There were significant statistical differences between the two groups（P<0.05）. Postoperative pathological results showed that there was no significant difference between the two groups（P>0.05）. The total effective rate after treatment in the obseruation group was significantly higher than that in the control group. There was significant statistical difference between the two groups（P<0.05）. In the observation group， there were one case of abdominal pain and one case of fever after the surgery. In the control group， there were 3 cases of abdominal pain， 2 cases of infection， one case of fever， and 2 cases of abdominal organ adhesion. The incidence rate of complications in the two groups was 5% and 20% respectively. There was a statistically significant difference between the two groups（P<0.05）. Conclusion Laparoscopic ovarian cystectomy for benign ovarian cysts has an exact clinical surgical effect， less complications， good safety， and advantages of shortened surgery time and reduced intraoperative blood loss， which is conducive to postoperative recovery.

[Key words] Laparoscopic ovarian cystectomy；Benign ovarian cysts；Complications；Surgery time

良性卵巢囊肿是常见的妇科疾病，好发于20～50岁的女性[1]，近年来随着人们生活方式和饮食习惯的改变，其发病率越来越多，严重影响女性的生活质量[2]。目前卵巢囊肿治疗的主要方式是手术切除，主要通过开腹和腹腔镜两种手术方式完成。常规的开腹手术是经阴道或经腹切除术，但开腹手术对机体造成的创伤较大[3]，随着腹腔镜技术的不断发展与成熟，腹腔镜手术目前已经用于治疗良性卵巢囊肿，并取得了较好的效果，现报道如下。

1 资料与方法

1.1 一般资料

收集2017年1月～2018年1月我院收治的良性卵巢囊肿患者80例，均通过盆腔检查、彩超检查、肿瘤标志物筛查以及术后的病理检查确诊，均签署知情同意书者。排除精神疾患或认知功能障碍者及药物过敏者，排除白细胞及血小板數目等血常规检查不达标者，排除双侧囊肿者，入选患者出现不同程度的下腹坠痛、腰酸、肿块、尿频等临床症状和体征，将以上符合纳入标准病例平均分为观察组和对照组，每组40例，两组临床资料方面比较，差异无统计学意义（P>0.05），具有可比性。……