摘要
目的:通过三种不同手术方式剔除卵巢良性肿瘤,探讨经阴道途径的可行性。方法:回顾性分析2005年12月-2006年12月间收治的直径<10 cm卵巢良性肿瘤需要保留子宫的患者75例,其中28例采用经阴道卵巢肿瘤剔除术(研究组);27例采用传统开腹卵巢肿瘤剔除术(对照组1);20例行腹腔镜卵巢肿瘤剔除术(对照组2)。比较三种手术方式的术中出血量、手术时间、术后住院天数、平均住院费用和术后病率。结果:研究组的术后住院天数少、平均住院费用和术后病率低,与对照组1相比差异有显著性(P<0.05);研究组的手术时间短、平均住院费用低与对照组2相比,差异有显著性(P<0.05);三组术中出血量相比差异无显著性(P>0.05)。结论:经阴道卵巢良性肿瘤剔除术是可行的,且具有住院和手术时间短、出血少、疼痛轻、恢复快、费用低、容易掌握等优点,值得推广。
Objective ： To assess the practical application value of transvaginal enucleation of benign ovarian tumor by comparing to two other modus operation. Methods ：A retrospective study was made for 75 patients with transvaginal enucleation of benign ovarian tumor from Dec. 2005 to Dec. 2006,28 of them through vagina（sample group） ,27 of them through abdomen （control 1）, 20 of them by laparoscopy （control 1）. The clinical data of those patients were compared in detail. Results ：The expenses of operation ,the time of post-operation recovery and the possibility of the post-operation complications decreased drastically in sample group compared with control 1（P〈0.05）. The time and the expenses of operation decreased drastically, in sample group compared with control 2（P〈0. 05）. There were no significant differences between these three groups in the amount of bleeding during the operation（P〉0. 05）. Conclusion..Transvaginal enucleation of benign ovarian tumor has more advantages than the operation by laparoscopy or through abdomen. It can be performed widely in different patients.
出处
《临床医药实践》
2007年第7期572-574,共3页
Proceeding of Clinical Medicine
