腹腔镜与开腹手术治疗卵巢成熟畸胎瘤的对比分析(1)
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【摘要】 目的 探讨腹腔镜手术治疗卵巢成熟畸胎瘤的临床价值。方法 选取216例确诊成熟畸胎瘤患者，随机分为两组，观察组96例，行腹腔镜下畸胎瘤剥出术，对照组120例，行开腹畸胎瘤剥出术，对比观察两组术中术后情况。结果 两组均成功完成手术，无需输血，无邻近器官损伤，术中术后均无手术并发症。两组手术时间、术中囊肿破裂率比较无显著性差异(P>0.05)，观察组的术口大小、术中出血量、术后镇痛药使用率均小于对照组(P<0.01)，术后禁食时间、肛门排气时间、术后住院时间均短于对照组(P<0.01)。两组术后复发率比较无显著性差异(P>0.05)。结论 腹腔镜手术在卵巢良性畸胎瘤的治疗上较传统开腹手术具有明显的优越性，且安全性好，值得推广。
【关键词】 卵巢成熟畸胎瘤；腹腔镜；手术治疗
文章编号：1003-1383(2010)02-0133-03
中图分类号：R 737.31文献标识码：A
doi:10.3969/j.issn.1003-1383.2010.02.007
Contrastive analysis of the peritoneoscope and the abdomen surgery for the mature ovary teratoma
SHI Guiling，LEI Zhiying，WU Huizhen，JIANG Luiyan
(Department of Obstetrics and Gynecology,Affiliated Hospital ofYoujiang Medical University for Nationalities,Guangxi,Baise，533000，China)
【Abstract】 Objective To discuss the clinical value of the peritoneoscope operation for mature ovary teratoma.
Methods Choose 216 cases with mature ovary teratoma were chosen and divided into two groups randomly.Treatment group (96 cases) were given peritoneoscope operation while control group(120 cases) were given abdomen surgery.Results Both group were completed the operation successfully,no bloodtransfusion and no adjacent organ injury,no operative complication were found during and after the operation. There were no significant difference betweem their operative timetheir operative time andCyst rupture rate (P<0.05).the length of the incision,bleeding loss and the analgesics using rate of treatment group was less than those of the control group(P<0.01).the time of fasting and anale exsufflation and hospitalization of treatment group was shorter than those of control group (P<0.01) there was no significant difference of the recurrent rate between the two groups(P>0.05).Con
clusion The peritoneoscope operation for mature ovary teratoma is better than the tradition opens abdomen operation,it is safe and worth popularizing.
【Key words】 varian mature teratoma；laparoscopy；surgery
卵巢成熟畸胎瘤又称为皮样囊肿，属良性肿瘤，可发生于任何年龄，以20～40岁居多，占卵巢肿瘤的10%～20%，多为单侧，双侧占10%～17%[1]，壁光滑，中等大小，圆形或椭圆形，多为单房，腔内充满脂肪和毛发，有时可见牙齿和骨质，部分可发生蒂扭转、破裂、感染、恶变。以往治疗卵巢成熟畸胎瘤主要采用开腹手术，近年来，随着微创技术的发展，电视腹腔镜下手术治疗卵巢成熟畸胎瘤已被广泛接受。我院2004年1月至2009年2月共进行腹腔镜手术治疗卵巢成熟畸胎瘤96例，疗效满意，现报道如下。
资料与方法
1.一般资料 2004年1月至2009年2月我院共收治卵巢肿瘤患者578例，其中216例经过妇检、B超、CT及妇科肿瘤标志物检查，临床诊断为卵巢成熟畸胎瘤，无合并妊娠，无内外科合并症。随机分为两组，观察组96例，年龄13～69岁，平均32.3岁。未产妇31例，经产妇65例。肿块直径平均5.1 cm(3 ......
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