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目的 探讨电视腹腔镜在卵巢良性肿瘤手术的实用价值。方法 卵巢良性肿瘤手术指征相同患者 14 0例为研究对象 ,分为腹腔镜组及开腹手术组 (对照组 )各 70例 ,比较两组疗效。结果 除手术时间腹腔镜组与开腹组差异无显著性外 (P >0 0 5 ) ,术中出血量 ,体温高峰 ,术后肛门排气时间 ,下床活动 ,住院天数与对照组比较差异均有极显著性(P <0 .0 1)。结论 电视腹腔镜行卵巢良性肿瘤手术具有术中出血少 ,术后平均体温高峰低 ,肛门排气早下床活动时间早 ,平均住院天数短等优点。术后半年追踪其复发率与开腹组差异无显著性。
Objective To investigate the practical value of laparoscopy in the treatment of benign ovarian tumors. Methods One hundred and seventy patients with same ovarian benign tumor were enrolled in this study. The patients were divided into laparoscopic group and laparotomy group (control group), 70 cases each. The curative effect was compared between the two groups. Results There was no significant difference between laparoscopic group and laparotomy group (P> 0.05), intraoperative blood loss, peak body temperature, postoperative anal exhaust time, bed ambulation and hospitalization days compared with the control group All were significant (P <0.01). Conclusion Laparoscopic surgery for benign ovarian tumors has the advantages of less intraoperative bleeding, lower mean body temperature after surgery, earlier onset of anus venting to bed early, and shorter average length of stay. No significant difference was found between the recurrence rate and the open group after six months.