【摘要】 目的:探讨腹腔镜下卵巢良性畸胎瘤剥除术的临床价值。方法:回顾分析2000年7月至2006年7月腹腔镜下剥除卵巢畸胎瘤患者48例(腹腔镜组)和开腹手术50例(开腹组)的临床资料。腹腔镜组使用自制不锈钢管取出标本。结果:两组手术均顺利完成,术后无化学性腹膜炎发生。腹腔镜组手术时间为(51.3±10.2)min,开腹组为(70.6±11.8)min,2组差异有统计学意义;腹腔镜组术中出血量为(73.9±35.2)ml,显著少于开腹组的(152.8±41.3)ml;腹腔镜组术后疼痛时间为(20.6±3.8)h,显著短于开腹组的(58.3±13.5)h;腹腔镜组术后排便时间为(26.4±7.2)h,显著短于开腹组的(39.7±8.8)h;腹腔镜组术后住院时间为(4.4±1.8)d,显著短于开腹组的(7.3±2.4)d。结论:通过改进取出标本的方法,腹腔镜下剥除卵巢畸胎瘤可以缩短手术时间,且术中出血少、疼痛轻、术后康复快、住院时间短、并发症少,是治疗卵巢畸胎瘤较理想的方法之一。更多还原

【Abstract】 Objective:To explore the clinical application of ovarian mature teratoma enucleation by laparoscopy.Methods:A retrospective analysis was made on clinical data of 48 cases of ovarian mature teratoma enucleation by laparoscopy(laparoscopic group)and 50 cases of open ovarian dermoid cyst(open group) from July 2000 to July 2006.In laparoscopic group specimens were taken out with self-regulating stainless steel tube.Results:The operation was sussesfully completed in both groups.No one had chemical peritonitis after operation.There was no difference in the operation time between the laparoscopic group(51.3±10.2)min and the open group(70.6±11.8)min,less intraoperative blood loss(73.9±35.2)ml than the open group(152.8±41.3)ml,shorter post operative pain time(20.6±3.8)hous,than the open group(58.3±13.5)hours,the time to first defecation was significantly shorter in the laparoscopic group(26.4±7.2)hours than in the open group(39.7±8.8)hours.short hospitalization(4.4±1.8)d than the open group(7.3±2.4)d.Conclusions:By improving specimen removal,ovarian mature teratoma enucleation by laparoscopy has advantages of obvious shorter operation time,little hemorrhage,little pain,fast recovery,short hospitalization and low complication rate,being one of ideal methods for the treatment of ovarian mature teratoma enucleation.更多还原