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目的探讨通过腹腔镜治疗卵巢巧克力囊肿的临床疗效。方法对80例卵巢巧克力囊肿患者随机分为治疗组和对照组各40例,治疗组采用腹腔镜下囊肿剥离术,对照组行传统剖腹手术治疗,并对其临床资料进行回顾性分析,比较术中、术后及随访情况。结果治疗组出血量、术后体温恢复正常时间、排气时间、术后住院时间显著短于对照组,差异有统计学意义(P<0.01或P<0.05);术后复发率和症状缓解率明显低于对照组,差异有统计学意义(P<0.01)。结论腹腔镜手术治疗卵巢巧克力囊肿具有侵袭性小、创伤小、术中出血少、术后恢复快、复发率低、症状缓解率高等优点,是治疗卵巢巧克力囊肿的首选治疗方法。
Objective To investigate the clinical efficacy of laparoscopic treatment of ovarian chocolate cysts. Methods Eighty patients with ovarian chocolate cyst were randomly divided into treatment group (40 cases) and control group (40 cases). Laparoscopic cyst exfoliation was performed in the treatment group and conventional laparotomy was performed in the control group. The clinical data were retrospectively analyzed. In the postoperative and follow-up situation. Results The amount of bleeding, postoperative body temperature recovery time, exhaust time, postoperative hospital stay significantly shorter than the control group, the difference was statistically significant (P <0.01 or P <0.05); postoperative recurrence and symptom relief rate Significantly lower than the control group, the difference was statistically significant (P <0.01). Conclusion Laparoscopic surgical treatment of ovarian chocolate cyst has the advantages of small invasiveness, small trauma, less intraoperative bleeding, rapid recovery, low recurrence rate and high symptom relief rate. It is the first choice for the treatment of ovarian chocolate cyst.