腹腔镜下卵巢成熟畸胎瘤剥除术180例分析

Laparoscopic decollement of mature ovarian teratoma: Report of 180 cases

目的探讨卵巢成熟畸胎瘤腹腔镜下剥除的安全性和治疗效果。方法 2004-03～2008-03行卵巢成熟畸胎瘤腹腔镜下剥除术180例,术中用单级电凝在卵巢表面无血管处切开长约1～2cm,用分离钳沿切口撕开包膜,轻轻分离包膜与瘤体;如发生瘤体破裂,立即吸除溢出囊外的组织。结果全组180例行卵巢成熟畸胎瘤剥除术,手术时间45～90min,平均60.5min,术中出血<20ml;180例无一例中转开腹,160例患者随访3～12个月,经B超检查未见有肿瘤复发,月经恢复正常。结论腹腔镜下卵巢成熟畸胎瘤剥除术是一种安全、可靠、创伤小的手术方法,术中瘤体破裂及手术时间主要与包膜厚度和手术技巧有关。

Objective To analyze the safety and therapeutic efficacy of laparoscopic decollement of mature ovarian teratoma. Methods One hundred and eighty patients with mature ovarian tecatima received laparoscopic decoUement of mature ovarian teratoma in our hospital from March 2004 to March 2008. First, a single-stage coagulation was used in ovarian surface there is no blood vessels to incise a about 1 - 2 cm incisions. Then the envelope was separated and torn along the incision with forceps, and the tumor capsule and envelope was gently separated. If the tumor was rupturd, the tissue outside the capsule should be drawn immediately. Results In the group of 180 deallement of ovarian mature teratama, the operation time was 45 - 90 minutes, with an average of 60. 5 minutes. The loss of blood was less than 20 ml. No patient was converted to laparotomy. Between 3 - 12 months of following up, no patients had tumor recurrence by Bultrasound examination, and all patients had normal menstruation. Conclusion Laparoscopic decollement of mature ovarian teratoma is safe and reliable and less traumatic. The occurrence of intraoperative tumor rupture and operation time are primarily related to capsular thickness and surgical techniques.