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目的通过与传统开腹手术治疗卵巢囊肿蒂扭转的比较,探讨腹腔镜手术临床应用效果。方法行腹腔镜手术的卵巢囊肿蒂扭转患者40例作为观察组;行传统的开腹手术的卵巢囊肿蒂扭转患者40例作为对照组。比较两组患者的手术时间、术中出血量、平均住院天数等指标。结果观察组的术中出血量、术后胃肠功能恢复时间、下床活动时间、平均住院时间较对照组均显著降低,差异有统计学意义(P<0.05)。手术后,两组患者疼痛评分均显著下降,差异具有统计学意义(P<0.05);观察组手术后疼痛评分显著低于对照组护理后评分,差异具有统计学意义(P<0.05)。结论腹腔镜手术治疗卵巢囊肿蒂扭转对卵巢功能影响较小,是一种安全、有效的方法。
Objective To compare the clinical results of laparoscopic surgery with traditional open surgery in the treatment of ovarian cyst torsion. Methods 40 cases of ovarian cyst torsion patients undergoing laparoscopic operation were selected as observation group. 40 cases of patients with torsion of ovarian cyst under conventional laparotomy as control group. The operation time, intraoperative blood loss, average hospitalization days and other indexes were compared between the two groups. Results The intraoperative blood loss, postoperative gastrointestinal function recovery time, ambulation time, and average length of stay in the observation group were significantly lower than those in the control group (P <0.05). After surgery, the pain scores of both groups were significantly decreased (P <0.05). The postoperative pain score of the observation group was significantly lower than that of the control group after nursing, the difference was statistically significant (P <0.05). Conclusion Laparoscopic treatment of ovarian cyst torsion on ovarian function is less affected, is a safe and effective method.