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目的探讨腹腔镜手术在附件良性囊肿诊断和治疗中的价值。方法将蚌埠市第一人民医院2006年1月-2009年1月住院治疗的151例附件良性囊肿患者,分为腹腔镜手术组和经腹手术组,对比两组手术效果及手术并发症等。结果畸胎瘤手术时间腹腔镜组长于经腹手术组(P<0.01),其余附件囊肿手术时间腹腔镜组明显短于经腹手术组(P<0.01)。腹腔镜组术中出血量、肛门排气时间、术后并发症、术后住院时间和恢复日常家务劳动时间均明显短于经腹手术组(P<0.01)。结论腹腔镜集诊断与治疗为一体,是施行附件囊肿手术的最佳方式。
Objective To investigate the value of laparoscopic surgery in the diagnosis and treatment of benign appendages. Methods The 151 cases of benign cystic patients with adnexal cyst treated in the First People’s Hospital of Bengbu City from January 2006 to January 2009 were divided into two groups: laparoscopic surgery group and abdomen surgery group. The operative effects and surgical complications were compared between the two groups. Results The length of laparoscopic surgery in teratoma was longer than that in abdominal surgery (P <0.01). The length of laparoscopic surgery in other cysts was significantly shorter than that in abdominal surgery (P <0.01). Laparoscopic surgery blood loss, anal exhaust time, postoperative complications, postoperative hospital stay and recovery of routine domestic work were significantly shorter than the abdominal surgery group (P <0.01). Conclusion Laparoscopic diagnosis and treatment as a whole, is the best way to implement cyst surgery.