本文選題：巨大卵巢囊腫 + 腹腔鏡手術(shù)　； 參考：《新疆醫(yī)科大學(xué)》2014年碩士論文

【摘要】：目的：探討腹腔鏡下行巨大卵巢囊腫手術(shù)的可行性。方法：計算機(jī)檢索Cochrane中心臨床研究數(shù)據(jù)庫、Cochrane圖書館、OV1D、EMBASE、醫(yī)學(xué)索引在線(Medline)、相關(guān)期刊論文(CNKI)、萬方數(shù)字化期刊全文數(shù)據(jù)庫、中國生物醫(yī)學(xué)文獻(xiàn)數(shù)據(jù)庫(CBM)。篩選并納入關(guān)于腹腔鏡和傳統(tǒng)開腹手術(shù)治療巨大卵巢囊腫的可行性比較的隨機(jī)對照試驗(Randomized controlled trial, RCT)或病例對照試驗(clinical controlled trial, CCT)。檢索時間至2013年12月截止。對符合納入標(biāo)準(zhǔn)的研究依據(jù)Cochrane系統(tǒng)評價方法提取資料并進(jìn)行質(zhì)量評價。使用Cochrane圖書館提供的RevMan5.2軟件進(jìn)行Meta分析。結(jié)果：納入6項病例對照研究,共包括396例患者,其中腹腔鏡和開腹組各193例。納入文獻(xiàn)中患者的基線特征無統(tǒng)計學(xué)差異。對研究指標(biāo)數(shù)據(jù)進(jìn)行meta分析,結(jié)果示：1.腹腔鏡組與開腹組的手術(shù)時間、術(shù)中出血量無統(tǒng)計學(xué)差異；2.腹腔鏡組的術(shù)后并發(fā)癥發(fā)生率、住院時間、術(shù)后通氣時間與開腹組相比差異有統(tǒng)計學(xué)意義,腹腔鏡組手術(shù)并發(fā)癥少于開腹組,住院時間及術(shù)后通氣時間短于開腹組。結(jié)論：在術(shù)前全面評估,嚴(yán)格把握手術(shù)適應(yīng)癥且術(shù)者技術(shù)操作嫻熟的條件下行腹腔鏡下巨大卵巢囊腫手術(shù)是可行的。
[Abstract]:Objective: to investigate the feasibility of laparoscopic surgery for giant ovarian cyst. Methods: the clinical research database of Cochrane Center, the Cochrane Library, the Medical Index online, the Chinese Journal full text Database, the Wanfang Digital Journal Full-text Database and the Chinese Biomedical Literature Database were searched by computer. A randomized controlled trial (Randomized controlled trial, RCT) or a case control trial (CSCT) on the feasibility of laparoscopic and traditional open surgery in the treatment of giant ovarian cysts were selected and included. The search time ends in December 2013. According to the Cochrane system evaluation method, the data were extracted and evaluated according to the inclusion criteria. Meta analysis is carried out with RevMan5.2 software provided by Cochrane library. Results: a total of 396 patients were included in 6 case-control studies, including 193 cases in the laparoscopy group and 193 cases in the open group. The baseline features of patients included in the literature were not statistically different. The meta analysis of the research index data shows that the result is 1: 1. There was no significant difference in operative time and blood loss between laparoscopy group and laparotomy group. The incidence of postoperative complications, hospitalization time and postoperative ventilation time in laparoscopic group were significantly different from those in open group. The complications in laparoscopic group were less than those in open group, and the hospitalization time and postoperative ventilation time were shorter in laparoscopy group than in open group. Conclusion: it is feasible to perform laparoscopic surgery on giant ovarian cyst under the condition of strict indication and skillful operation in preoperative comprehensive evaluation.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R713.6

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