妊娠合并卵巢肿瘤的诊治体会

The experience of clinical diagnosis and treatment on pregnancy associated with ovarian tumors

目的探讨利用腹腔镜行妊娠合并卵巢肿瘤手术的可行性、手术要点及临床价值。方法对我院2010年6月-2014年6月收治的120例妊娠合并卵巢肿瘤患者的手术方式、手术时间、出血量、术后肛门排气时间、术后住院天数、并发症等进行分析,随机选取同期55例为传统开腹手术组和65例为腹腔镜手术组资料进行比较。结果 1开腹组和腹腔镜组的手术时间分别为（30.2±5.2）min和（20.1±4.6）min（P〈0.05）,术中出血量分别为（50.2±10.1）m L和（15.2±4.2）m L（P〈0.01）,术后肛门排气时间分别为（36±11）h和（19±8）h（P〈0.05）,术后住院天数分别为（4.0±1.6）d和（8.2±1.5）d（P〈0.05）;2开腹组和腹腔镜组术后发生流产分别有3例和0例,腹部切口愈合不良分别有4例和0例,术后发热有2例和0例。结论腹腔镜组手术效果好,其手术操作时间缩短、术中出血、术后肛门排气时间、术后住院天数、术后并发症均减少。

Objective To investigate the feasibility, operation of ovarian tumor in pregnancy by laparoscopic operation points and clinical value. Methods In our hospital from June 2010 to June 2014, 120 cases of pregnancy with ovarian tumor in patients with surgical procedure were selected, operation time, blood loss, postoperative anal exhaust time,postoperative hospitalization days and complications were analyzed, and the randomly selected from the same period of55 cases of traditional open surgery group and 65 cases of laparoscopic surgery group data comparison. Results（1）The operation time of open and laparoscopic group was（30.2±5.2） min and（20.1±4.6）min（P〈0.05）, intraoperative blood loss were（50.2±10.1）m L and（15.2±4.2）m L respectively（P0.01）, postoperative anal exhaust time was（36±11）h and（19 ±8）h（P 0.05）,postoperative hospital days were（4.0 ±1.6） d and（8.2 ±1.5）d（P 0.05）;（2）The open operation group and the laparoscopic group were 3 cases and 0 case of postoperative abortion,there were 4 cases and 0 case of abdominal incision healing bad, there were 2 cases and 0 case occurred postoperative fever. Conclusion The effect of laparoscopic surgery group, the operation time is shortened, intraoperative bleeding, postoperative anal exhaust time,postoperative hospitalization days and postoperative complications reduce.