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目的探讨腹腔镜卵巢良性肿瘤剥除术及腹腔镜辅助经阴道卵巢良性肿瘤剥除术两种手术方式的疗效。方法将58例初步排除恶性肿瘤的卵巢囊肿患者,按手术途径分为腹腔镜辅助经阴道卵巢良性肿瘤剥除术28例(A组),腹腔镜卵巢良性肿瘤剥除术30例(B组)。比较两组的手术时间、气腹时间、术中出血量、肛门排气时间、术后病率、住院时间。结果 A组手术时间、气腹时间、术后肛门排气时间均短于B组,其结果比较差异有统计学意义。但不适用于未婚或盆腔严重粘连的患者。结论腹腔镜辅助经阴道卵巢良性肿瘤剥除术除具有微创手术特点外,还有操作简便、快捷等优点。如能选择好手术指征,则效果良好。
Objective To investigate the efficacy of laparoscopic benign ovarian tumor removal and laparoscopic assisted transvaginal benign ovarian tumor stripping surgery. Methods Fifty-eight patients with malignant ovarian cyst who were initially excluded were divided into two groups according to the surgical approach: 28 cases (group A) with laparoscopic assisted transvaginal benign ovarian tumor removal and 30 cases with laparoscopic benign ovarian tumor removal (group B) . The operation time, pneumoperitoneum time, intraoperative blood loss, anal exhaust time, postoperative morbidity and hospital stay were compared between the two groups. Results The operation time, pneumoperitoneum time and postoperative anal exhaust time in group A were shorter than those in group B. The difference was statistically significant. But does not apply to unmarried or pelvic adhesions in patients with severe. Conclusion Laparoscopic assisted transvaginal benign ovarian tumor removal in addition to the characteristics of minimally invasive surgery, there are simple, quick and so on. If you can choose a good surgical indications, the effect is good.