腹腔镜手术剥离卵巢皮样囊肿的临床价值

Laparoscopic stripping of mature ovarian teratoma

目的探讨腹腔镜下皮样囊肿(成熟畸胎瘤)剔除术的临床应用价值。方法对89例需要行皮样囊肿剔除术的患者,按入院先后顺序,随机分为腹腔镜组(45例)与开腹手术治疗组(44例)。比较两组患者的术中出血量、术后排气时间、术后病率、住院时间、手术时间、术中囊肿破裂机会等各项临床指标。结果腹腔镜组的术中出血量、术后排气时间、术后病率、住院时间低于开腹组,差异有统计学意义(P<0.05);两组的手术时间、术中囊肿破裂机会的比较,差异无统计学意义(P>0.05)。结论腹腔镜下皮样囊肿剔除术优于开腹手术,具有创伤小、术中出血少、术后恢复快等优点,是一种较为理想的手术方法,可在临床推广应用。

Objective To explore the clinical value of laparoscopic surgery in dermoid cyst（mature ovarian teratoma） removed.Methods 189 cases with dermoid cyst need to remove the line surgery were randomly divided into the laparoscopic group（95 cases）and open surgery group（94 cases）.The clinical indicators were compared including blood loss,postoperative discharge time,postoperative morbidity,hospital stay,operative time and intraoperative cyst rupture opportunities.Results Surgical blood loss,postoperative discharge time,postoperative morbidity and hospital stayin the laparoscopic group were significantly lower than that in the laparotomy group（P〈0.05）;Compared the operative time and the chance of intraoperative cyst rupture between the two groups,the difference was not statistically significant（P〉0.05）.Conclusion Dermoid cyst with laparoscopic surgery is an ideal surgical method.