卵巢成熟性畸胎瘤腹腔镜手术680例临床分析

Clinical analysis of laparoscopic treatment of mature ovarian teratoma in 680 cases

目的分析卵巢成熟性畸胎瘤的临床特点及其腹腔镜手术的价值。方法回顾性分析680例进行腹腔镜手术的卵巢成熟性畸胎瘤患者的临床资料。结果 680例患者成功完成手术,平均手术时间46min,平均出血量18mL,术后恢复良好。其中,单侧发病者占86.21%;肿瘤为单房者占95.26%;并发症以卵巢肿瘤蒂扭转最为常见(占7.21%),发生扭转的肿瘤平均直径(9.9±21.5)cm明显大于未发生扭转者(6.3±3.9)cm(P<0.001),蒂扭转发生率还与其是否双侧发病(双侧>单侧)、有无骨质成分(有>无)有关(P<0.05)。结论腹腔镜是卵巢成熟性畸胎瘤首选的手术方式;肿瘤直径大、内含骨质及双侧发病时蒂扭转几率增大。

【Objective】To analyze the clinical features and the value of laparoscopic treatment of ovarian mature teratoma.【Methods】The clinical data of 680 cases receiving laparoscopic treatment of ovarian mature teratoma were analyzed retrospectively.【Results】All of 680 patients received successful operation and good postoperative recovery.The mean time of operation was 46 minutes and the mean volume of intra -operative bleeding was 18 millilitres.86.21% of the patients develope unilateral teratoma;95.26% develope teratoma with single cavity.Torsion is the most common complications of ovarian teratoma（amount to 7.21%）.The mean diameter of torsional teratoma（9.9±21.5） cm was larger than that without torsion（6.3±3.9） cm（P0.001）.And the rate of torsion was higher when the teratoma was with bone component and bilateral（P0.05）.【Conclusions】Laparoscopy is the best choice in treating mature ovarian teratoma;the rate of torsion rises if the teratoma is large,bilateral or with bone component.