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目的对比分析腹腔镜和传统开腹手术对卵巢巧克力囊肿的治疗效果,探究有效地治疗方案。方法 80例卵巢巧克力囊肿妇女,随机分成研究组40例和对照组40例,研究组患者进行腹腔镜手术,对照组患者给予传统开腹手术,观察比较两组治疗方法的治疗效果、手术时间、住院时间以及出血量等。结果研究组患者的出血量、排气时间、住院时间等明显低于对照组,差异具有统计学意义(P<0.05或P<0.01);另外随访发现研究组患者复发人数少于对照组,而疼痛的缓解以及妊娠率方面显著优于对照组,差异具有统计学意义(P<0.05)。结论腹腔镜术式对患者的创伤小,侵袭性小、出血少、术后恢复快,住院时间短,节省住院费用,复发率低,是卵巢巧克力囊肿的首选治疗术式。
Objective To compare and analyze the therapeutic effects of laparoscopic and traditional laparotomy on ovarian chocolate cysts and to explore the effective treatment plan. Methods Eighty patients with ovarian chocolate cyst were randomly divided into study group (40 cases) and control group (40 cases). Patients in the study group underwent laparoscopic surgery and patients in the control group received conventional laparotomy. The therapeutic effects, operation time, Length of stay and bleeding. Results The bleeding volume, excretion time and hospital stay of the study group were significantly lower than those of the control group (P <0.05 or P <0.01). In addition, the follow-up results showed that the study group had fewer recurrences than the control group Pain relief and pregnancy rate was significantly better than the control group, the difference was statistically significant (P <0.05). Conclusion Laparoscopic surgery is less invasive, less invasive, less bleeding, faster postoperative recovery, shorter hospital stay, lower hospitalization costs and lower recurrence rate. It is the first choice for treatment of ovarian chocolate cysts.