经阴道卵巢畸胎瘤剔除术的临床分析

Clinical analysis of transvaginal ovarian teratoma resection

目的比较经阴道手术与经腹腔镜两种方式行卵巢畸胎瘤剔除术的效果。方法 84例良性卵巢畸胎瘤患者,随机分为腹腔镜手术组(46例)和经阴道手术组(38例)。腹腔镜手术组行腹腔镜卵巢畸胎瘤剔除术,经阴道手术组患者行经阴道卵巢畸胎瘤剔除术。比较两组患者的手术时间、术中出血量、术后镇痛、术后病、术后排气时间、住院时间。结果经阴道手术组患者手术时间为(49.3±18.9)min,短于腹腔镜手术组的(61.7±16.3)min,差异具有统计学意义(P<0.05);两组患者术中出血量、术后镇痛率、术后病率、术后排气时间、住院时间比较差异无统计学意义(P>0.05)。两组患者均无脏器损伤、出血过多、术后感染等并发症发生。结论经阴道卵巢畸胎瘤剔除术的疗效、安全性与腹腔镜卵巢畸胎瘤剔除术相似,具有损伤小、出血少、胃肠功能干扰小、住院时间短、恢复快、美观等优点。而且住院费用相对低,是治疗卵巢良性畸胎瘤的安全、可行的手术方式。

Objective To compare the effect of transvaginal and laparoscopic resection of ovarian teratoma. Methdos A total of 84 benign ovarian teratoma patients were randomly divided into laparoscopic operation group(46 cases) and transvaginal operation group(38 cases). Laparoscopic operation group was treated by laparoscopic ovarian teratoma, and transvaginal operation group was treated by transvaginal ovarian teratoma. The operation time, amount of intraoperative hemorrhage, postoperative analgesia, postoperative morbidity, postoperative exhaust time and hospitalization time was compared between the two groups. Results The operation time of transvaginal operation group was(49.3±18.9) min, which was shorter than(61.7±16.3) min of laparoscopic operation group, and the difference was statistically significant(P<0.05). There was no statistically significant difference in amount of intraoperative hemorrhage, postoperative analgesia, postoperative morbidity, postoperative exhaust time and hospitalization time between the two groups(P>0.05). There were no complications such as organ injury, excessive hemorrhage and postoperative infection in both groups. Conclusion Transvaginal ovarian teratomas resection shows similar efficacy and safety with laparoscopic ovarian teratomas resection. It has the advantages of less damage, less hemorrhage, less gastrointestinal function interference, short hospitalization, fast recovery and beautiful appearance, moreover, the cost of hospitalization is relatively low. It is a safe and feasible way for benign ovarian teratoma.