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目的观察腹腔镜手术治疗卵巢良性肿瘤的临床效果。方法选取2012年5月—2015年9月洛阳市第一人民医院收治的卵巢良性肿瘤患者272例,根据临床治疗方法不同分为对照组与观察组,各136例。对照组采用传统开腹手术方法治疗,观察组在腹腔镜的辅助下完成手术治疗,比较两组患者围术期临床指标(手术时间、肛门排气时间、下床活动时间及住院时间)及治疗前后免疫指标(CD_(69)、CD_(30))水平变化情况。结果观察组手术时间、肛门排气时间、下床活动时间及住院时间均短于对照组,差异有统计学意义(P<0.05)。治疗前两组患者CD_(69)、CD_(30)免疫指标比较,差异无统计学意义(P>0.05);治疗后观察组CD_(69)、CD_(30)指标水平变化低于对照组,差异有统计学意义(P<0.05)。结论在腹腔镜的辅助下为卵巢良性肿瘤患者开展手术治疗,可缩短手术治疗时间,改善患者预后,并在此基础上减少住院时间。
Objective To observe the clinical effect of laparoscopic surgery for benign ovarian tumors. Methods From May 2012 to September 2015, 272 patients with benign ovarian tumors admitted to the First People’s Hospital of Luoyang were selected and divided into control group and observation group with 136 cases in each group according to different clinical treatment methods. The control group was treated by traditional laparotomy. The observation group underwent surgery with the help of laparoscopy. The clinical parameters (operation time, anus discharge time, ambulation time and hospital stay) and treatment Before and after the immune index (CD_ (69), CD_ (30)) level changes. Results The operation time, anus exhaust time, ambulation time and hospital stay in the observation group were shorter than those in the control group, with statistical significance (P <0.05). There were no significant differences in the immunological indexes of CD_ (69) and CD_ (30) between the two groups before treatment (P> 0.05). After treatment, the changes of CD_ (69) and CD_ (30) The difference was statistically significant (P <0.05). Conclusion Operative treatment of patients with benign ovarian tumors with the help of laparoscopy can shorten the operation time and improve the prognosis of patients, and on this basis reduce the length of stay.