腹腔镜手术剥离卵巢皮样囊肿的临床价值

The clinical value of laparoscopic stripping of ovarian dermoid cyst

目的探讨腹腔镜下卵巢皮样囊肿(成熟畸胎瘤)剔除术的临床价值。方法 88例需行皮样囊肿剔除术患者,按入院先后顺序随机分为观察组与对照组各44例。观察组行腹腔镜手术,对照组行开腹手术,比较两组术中出血量、手术时间、术中囊肿破裂机会、术后肛门排气时间、术后病率等各项临床指标。结果观察组的术中出血量、术后排气时间、术后病率、住院时间均低于对照组,差异有统计学意义(P<0.05);两组手术时间、术中囊肿破裂机会比较,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,值得推广。

Objective To explore the clinical value of laparoscopic stripping of dermoid cyst（mature ovarian teratoma）.Methods According to hospital,88 patients with dermoid cyst need to remove the line surgery,has been divided into：observation group and control group,n = 44.Observation group underwent laparoscopic surgery,while the control group underwent open surgery.The clinical indicators were compared between the two groups including blood loss,operative time,intraoperative cyst rupture opportunity anal exhaust time,postoperative morbidity and other clinical indicators.Results Observer group was significantly lower than the control group in blood loss,postoperative discharge time,postoperative morbidity,length of stay,the difference was statistically significant（P〈0.05）.Between the two groups operative time,intraoperative cyst rupture opportunity,the difference was not statistically significant（P〈0.05）.Conclusion Laparoscopic stripping of dermoid cyst with less trauma,less bleeding,rapid postoperative recovery,etc.is an ideal surgical method,it is worth promoting.