腹腔镜手术治疗小儿卵巢畸胎瘤36例分析  

Experience of Laparoscopic cystectomy of ovarian teratoma (report of 36 cases)

作　　者：阿布都赛米.阿布都热依木 玉苏甫[1] 卡热也木[2] 刘东[1] 李水学[1] 克力木[3] 

机构地区：[1]新疆维吾尔自治区人民医院小儿外科,乌鲁木齐830001 [2]新疆维吾尔自治区人民医院病案管理科,乌鲁木齐830001 [3]新疆维吾尔自治区人民医院微创及腹壁疝外科,乌鲁木齐830001

出　　处：《中华疝和腹壁外科杂志（电子版）》2013年第3期36-37,43,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨小儿卵巢畸胎瘤的腹腔镜手术方式及疗效分析。方法 2010年8月至2012年8月新疆维吾尔自治区人民医院行腹腔镜手术治疗小儿卵巢畸胎瘤患儿36例,根据术中情况选择肿瘤剥除及附件切除。结果本组36例患儿手术均获成功,手术时间平均(35±10)min;术中出血少,平均出血量(10±5)ml。术后随访6～12个月均无复发。结论腹腔镜手术可放大周围解剖关系,保留正常卵巢组织,具有手术创伤小、术中出血少、手术简便、术后多无痛苦、恢复快、住院时间短、并发症少等优点,患儿及家属易于接受,值得临床推广应用。Objective To investigate the operation way choice and effective analysis of Laparoscopic cystectomy of ovarian teratoma. Methods From August 2010 to August 2012, a total of 36 cases with pediatric ovarian teratoma were treated with laparoscopic surgery. Tumorectomy or adnexectomy would be decided according to the intraoperative situation. Results All 36 cases were successfully operated via laparoscopy in within a mean of 30 minutes with less bleeding, 6 to 12 months of follow-up to observe the curative effective, no recurrence was occurred. Conclusions Laparoscopic techniques can enlarge the operation. The anatomical relationship can be observed, and more normal tissues can be kept. The operation wound had strengths with less bleeding, being simple, fewe rpostoperative discomfort, rapid recovery, short hospitalizing time and minimum complication. It can be acceptable by most of families, and applicable for being widely applied in chnical practice.

关 键 词：卵巢 畸胎瘤 儿童 腹腔镜 外科手术 

分 类 号：R737.31[医药卫生—肿瘤]