良性卵巢肿瘤患者行腹腔镜手术治疗的效果评估

蔡宾

【摘 要】目的：评估良性卵巢肿瘤患者行腹腔镜手术治疗的效果。方法：将我院2017年3月至2019年3月收治的90例良性卵巢肿瘤患者纳入至本次研究，依照数字随机表法将其分为对照组（45例）与观察组（45例），对照组给予常规开腹手术，观察组则行腹腔镜手术治疗，术后比较两组患者手术情况，观察治疗效果。结果：对照组患者的手术时间短于观察组，下床活动时间、排气时间以及住院时间显著长于观察组，术中出血量多于观察组，对比差异有统计学意义（P<0.05）。对照组患者临床治疗的总有效率93.33%低于观察组97.78%，组间对比无统计学意义（P>0.05）。结论：在良性卵巢肿瘤患者接受治疗的过程中，虽然腹腔镜手术治疗的临床结局同常规手术并无显著差异，但腹腔镜手术属于微创手术，术后恢复更快，患者受创伤程度轻，值得在临床治疗中推广。

【关键词】良性卵巢肿瘤;腹腔镜手术;开腹手术;效果评估

Abstract： objective： To evaluate the efficacy of laparoscopic surgery in patients with benign ovarian tumors. Methods： Ninety patients with benign ovarian tumors admitted to our hospital from March 2017 to March 2019 were included in the study. They were divided into control group （45 cases） and observation group （45 cases） according to the numerical random table method. The control group received routine laparotomy， and the observation group underwent laparoscopic surgery. The operation of the two groups was compared and the treatment effect was observed. Results： The operation time of the control group was shorter than that of the observation group. The time of getting out of bed， exhaust time and hospitalization time were significantly longer than that of the observation group. The intraoperative blood loss was more than that of the observation group， and the difference was statistically significant （P<0.05）. The total effective rate of clinical treatment in the control group was 93.33% lower than that in the observation group （97.78%）. There was no statistically significant difference between the groups （P>0.05）.Conclusion： In the course of the treatment of benign ovarian tumor patients， although the clinical outcome of laparoscopic surgery is not significantly different from that of conventional surgery， laparoscopic surgery is a minimally invasive surgery， with faster postoperative recovery and less trauma， which is worth promoting in clinical treatment.

Keywords： Benign ovarian neoplasms; Laparoscopic surgery; Open surgery; Effect evaluation

【中图分类号】R737.31【文献标识码】A【文章编号】1672-3783（2020）03-09--02

卵巢肿瘤是临床常见的妇产科疾病，主要是指发生于卵巢上的一种肿瘤疾病，根据病情轻重程度，可分为良性肿瘤、交界性肿瘤以及恶性肿瘤[1]。良性卵巢肿瘤是一種可控制肿瘤，患者经过积极的临床治疗后可痊愈。目前临床上主要的治疗方法为手术治疗，传统开腹手术是一种方法，但是此手术方法对患者的损伤较大、术后恢复较慢，影响了患者治疗的积极性和依从性。近年来，越来越多的学者在研究中指出腹腔镜手术用于良性卵巢肿瘤的临床效果明显，同时因切口较小，术后疤痕较小，也符合人们的审美要求[2]。基于此，本次研究对2017年3月至2019年3月我院收治的90例良性卵巢肿瘤患者的临床资料进行分析，旨在为临床研究提高良性卵巢肿瘤患者的治疗质量提供依据，现报告如下。

1 资料与方法

1.1 一般资料

将我院2017年3月至2019年3月收治的90例良性卵巢肿瘤患者纳入至本次研究，依照数字随机表法将其分为对照组（45例）与观察组（45例）。本研究获伦理委员会批准且90例患者以及患者家属均知情同意。