腹腔镜下卵巢良性畸胎瘤手术疗效观察

Clinical Observation on Laparoscopic Surgery in Benign Ovarian Teratoma

目的探讨腹腔镜下卵巢良性畸胎瘤手术的可行性及临床应用价值。方法 128例卵巢良性畸胎瘤患者随机分为观察组和对照组,观察组在腹腔镜下行卵巢良性畸胎瘤手术,对照组给予传统开腹手术。结果观察组除手术时间外,术中出血量、拔尿管时间、肛门排气时间、住院时间及下床活动时间均少于对照组(P<0.05)。术后6～12个月观察组并发症发生率为6.15%,对照组并发症发生率为23.81%,两组差异有统计学意义(P<0.05)。结论腹腔镜下卵巢良性畸胎瘤手术具有肠道干扰少、术中出血少、住院时间短等优点,在临床中应用安全可行。

Objective To explore the feasibility and clinical application of laparoscopic surgery in treating benign ovarian teratoma. Methods 128 patients with ovarian benign teratoma were randomly divided into two groups, the observation group and the control group. Laparoscopic, surgery was performed in the former, while the conventional open surgery in the latter. Results Except the time of operation, the observation group had less blood loss during surgery and less time for u- rinary catheter indwelling, for passing wind, for hospital stay and for ambulation, in comparison with the control group（ P 〈 0.05）. 6 - 12 months after surgery, the incidence of complications was 6.15% in the observation group and 23.81% in the control group. There was statistical difference between them（P 〈 0.05）. Conclusions With the merits of less intesti- nal disturbance, less blood loss during surgery, and shorter hospital stays, laparoscopic surgery is clinically safe and feasible in treating benign ovarian teratoma.