腹腔镜与开腹良性卵巢畸胎瘤剔除术的临床比较  

Comparison of Laparoscopy and Laparotomy in Benign Ovarian Embryoma Cystectomy

作　　者：周永来[1] 杨秋花[1] 金波[1] 

机构地区：[1]湖南省怀化市妇幼保健院妇产科,怀化418000

出　　处：《中国现代手术学杂志》2009年第3期214-216,共3页Chinese Journal of Modern Operative Surgery

摘　　要：目的比较腹腔镜术与开腹术两种方法行良性卵巢畸胎瘤剔除术的效果。方法94例良性卵巢畸胎瘤患者,随机分为腹腔镜组(48例)与开腹术组(46例),分别行腹腔镜和开腹畸胎瘤剔除术。结果两组在年龄、体重、开腹术史、肿瘤的大小等方面差异无显著性(P>0.05)。腹腔镜组术中失血量、术后排气时间、术后病率、术后住院日、镇痛剂使用率均低(短)于开腹组,其恢复日常家务、工作及性生活等方面亦明显优于开腹组(P<0.01或P<0.05)。结论腹腔镜行良性卵巢畸胎瘤剔除术创伤小,疼痛轻,并发症少,患者恢复快,值得推广应用。Objective To compare the effect of laparoseopy and laparotomy in benign ovarian embryoma eysteetomy. Methods 94 patients suffered benign ovarian teratoma were randomized into two groups： laparoseopy group （n = 48 ） was performed laparoseopie ovarian eysteetomy, and laparotomy group （n = 46） was conducted open surgery to resect the ovarian teratoma. Results There was no difference in age, body weight, laparotomy history, the size of teratoma, operating time and teratoma rupture rate between two groups （ P 〉0. 05 ）. Compared with laparotomy group, laparoscopy group was associated with a significant reduction in intraoperative blood loss, gastrointestinal recovery time, postoperative morbidity, analgesic rate, hospital stay and recovery period （ P 〈 0.01 or P 〈 0.05 ）. Conclusion Laparoscopic is superior to laparotomy in benign ovarian cystectomy with advantages as mini-trauma, slight pain, less complication and quick recovery, and is worth to be recommended.

关 键 词：卵巢肿瘤 畸胎瘤 腹腔镜检查 剖腹术 

分 类 号：R737.31[医药卫生—肿瘤]