蔡賓

【摘 要】目的：評估良性卵巢腫瘤患者行腹腔鏡手術(shù)治療的效果。方法：將我院2017年3月至2019年3月收治的90例良性卵巢腫瘤患者納入至本次研究，依照數(shù)字隨機(jī)表法將其分為對照組（45例）與觀察組（45例），對照組給予常規(guī)開腹手術(shù)，觀察組則行腹腔鏡手術(shù)治療，術(shù)后比較兩組患者手術(shù)情況，觀察治療效果。結(jié)果：對照組患者的手術(shù)時(shí)間短于觀察組，下床活動(dòng)時(shí)間、排氣時(shí)間以及住院時(shí)間顯著長于觀察組，術(shù)中出血量多于觀察組，對比差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。對照組患者臨床治療的總有效率93.33%低于觀察組97.78%，組間對比無統(tǒng)計(jì)學(xué)意義（P>0.05）。結(jié)論：在良性卵巢腫瘤患者接受治療的過程中，雖然腹腔鏡手術(shù)治療的臨床結(jié)局同常規(guī)手術(shù)并無顯著差異，但腹腔鏡手術(shù)屬于微創(chuàng)手術(shù)，術(shù)后恢復(fù)更快，患者受創(chuàng)傷程度輕，值得在臨床治療中推廣。

【關(guān)鍵詞】良性卵巢腫瘤;腹腔鏡手術(shù);開腹手術(shù);效果評估

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

【中圖分類號】R737.31【文獻(xiàn)標(biāo)識碼】A【文章編號】1672-3783（2020）03-09--02

卵巢腫瘤是臨床常見的婦產(chǎn)科疾病，主要是指發(fā)生于卵巢上的一種腫瘤疾病，根據(jù)病情輕重程度，可分為良性腫瘤、交界性腫瘤以及惡性腫瘤[1]。良性卵巢腫瘤是一種可控制腫瘤，患者經(jīng)過積極的臨床治療后可痊愈。目前臨床上主要的治療方法為手術(shù)治療，傳統(tǒng)開腹手術(shù)是一種方法，但是此手術(shù)方法對患者的損傷較大、術(shù)后恢復(fù)較慢，影響了患者治療的積極性和依從性。近年來，越來越多的學(xué)者在研究中指出腹腔鏡手術(shù)用于良性卵巢腫瘤的臨床效果明顯，同時(shí)因切口較小，術(shù)后疤痕較小，也符合人們的審美要求[2]?；诖?，本次研究對2017年3月至2019年3月我院收治的90例良性卵巢腫瘤患者的臨床資料進(jìn)行分析，旨在為臨床研究提高良性卵巢腫瘤患者的治療質(zhì)量提供依據(jù)，現(xiàn)報(bào)告如下。

1 資料與方法

1.1 一般資料

將我院2017年3月至2019年3月收治的90例良性卵巢腫瘤患者納入至本次研究，依照數(shù)字隨機(jī)表法將其分為對照組（45例）與觀察組（45例）。本研究獲倫理委員會批準(zhǔn)且90例患者以及患者家屬均知情同意。