腹腔镜在妇科良性肿瘤中的应用

目的 :总结腹腔镜手术治疗卵巢良性肿瘤的经验。方法 :随机将有手术指征的卵巢良性肿瘤患者 6 0例分为 2组 ,腹腔镜组和手术组各 30例。对两组患者的手术时间 ,术中出血量 ,术后发热率 ,胃肠功能恢复时间 ,开始下床活动时间 ,住院时间 ,使用镇痛剂的百分率 ,及 2组患者术前、术后 2 4hWBC计数 ,CRP水平进行比较分析。结果 :2组患者手术时间 ,术前 2 4hWBC计数 ,及术前 2 4hCRP水平差异无显著性 (P >0 0 5 ) ;术中出血量 ,胃肠功能恢复时间 ,下床活动时间 ,住院时间 ,应用镇痛剂的百分率 ,术后发热率以及术后CRP水平差异均有显著性 (P <0 .0 5 )。结论 :腹腔镜手术用于妇科良性肿瘤 ,具有出血少 ,侵袭性小 ,不干扰腹腔内环境 ,术后发热率低 ,恢复快 ,住院时间短等优点

Laparoscopy in the treatment of benign tumor of ovary

Objective:To sum up the clinical experience of laparoscopy in treating benign tumor of ovary.Methods:60 cases with benign tumor of ovary were divided into two groups at random. 30 cases were treated by laparoscopy, while the other 30 cases by laparotomy. In the two groups, the operation time, the bleeding amount, the postoperative morbidity rate and the time of intestinal function recovery, the time of leaving bed and hospitalization, and the WBC count, the level of CRP 24 hours before operation and 24 hours after operation were analyzed.Results:In the two groups, the operation time, the WBC count and the level of CRP 24 hours before operation were not significantly different (P>0.05),but the bleeding amount, the time of intestinal function recovery, the time of leaving bed and the hospitalization, and the postoperative morbidity rate, and the level of CRP 24 hours after operation were significantly different (P<0.01). Conclusions:Compared with laparotomy, laparoscopy has special advantages, such as less injury, less disturbance of pelvis, faster recovery and shorter hospitalization time in treating benign tumor of ovary.