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免气腹腹腔镜卵巢成熟畸胎瘤剥除术的应用
引用本文:赵文娟,郝万明,鲁桦,张军,李斌. 免气腹腹腔镜卵巢成熟畸胎瘤剥除术的应用[J]. 中国微创外科杂志, 2010, 10(3): 212-213,216
作者姓名:赵文娟  郝万明  鲁桦  张军  李斌
作者单位:1. 首都医科大学附属北京安贞医院妇产科,北京,100029
2. 河北省怀来县医院妇产科,怀来,0754002
3. 清华大学第一附属医院妇产科,北京,1000163
摘    要:目的探讨免气腹腹腔镜在卵巢成熟畸胎瘤剥除术中的应用价值。方法我院2007年1月~2009年1月38例成熟畸胎瘤,分别采取气腹腹腔镜手术(n=18)和免气腹腔镜手术(n=20),比较免气腹与气腹腹腔镜的手术时间、术中出血量、术中畸胎瘤破裂率及术后病率。结果2组手术均无术中、术后并发症发生。免气腹组手术时间(78.0±15.6)min,显著短于气腹组(91.9±14.4)min(t=-2.844,P=0.007);免气腹组术中出血量(59.2±18.4)ml,显著少于气腹组(76.1±22.8)ml(t=-2.526,P=0.016);免气腹组畸胎瘤的破裂率为5.0%(1/20),气腹组为33.3%(6/18),差异有统计学意义(P=0.038)。2组术后病率均为0。结论免气腹腹腔镜手术治疗卵巢良性畸胎瘤具有适应证广、操作简单等优点,且其腹腔外剥除的手术方法能有效地防止术中囊肿破裂等并发症的发生,具有广泛的应用前景。

关 键 词:卵巢畸胎瘤  免气腹  气腹  腹腔镜

Comparison of Laparoscopic Resection of Ovarian Teratoma Using a Subcutaneous Abdominal Wall Lifting Device and Pneumoperitoneum
Zhao Wenjuan,Hao Wanming,Lu Hua,et al.. Comparison of Laparoscopic Resection of Ovarian Teratoma Using a Subcutaneous Abdominal Wall Lifting Device and Pneumoperitoneum[J]. Chinese Journal of Minimally Invasive Surgery, 2010, 10(3): 212-213,216
Authors:Zhao Wenjuan  Hao Wanming  Lu Hua  et al.
Affiliation:Zhao Wenjuan,Hao Wanming,Lu Hua,et al.Department of Gynecology , Obstetrics,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China
Abstract:Objective To evaluate the value of subcutaneous abdominal wall lifting system in gasless laparoscopic resection of mature ovarian teratoma.Methods From January 2007 to January 2009,totally 38 cases of mature ovarian teratoma were treated in our hospital.The patients received laparoscopic resection of ovarian teratoma by pneumoperitoneum(n=18)or a subcutaneous abdominal wall lifting device(n=20).The operation time,intraoperative blood loss,rate of teratoma rupture,and postoperative morbidity were compared be...
Keywords:Ovarian teratoma  Gasless  Pneumoperitoneum  Laparoscope  
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