腹腔镜手术治疗卵巢成熟性畸胎瘤212例临床分析

目的分析腹腔镜下治疗卵巢成熟性畸胎瘤的效果及临床价值。方法回顾性分析应用腹腔镜治疗卵巢成熟性畸胎瘤212例,并与同期开腹组治疗成熟性畸胎瘤进行比较。结果 212例患者腹腔镜手术全部成功,无1例中转开腹。平均手术时间(48.7±11.8)min,术中出血量(31.3±5.7)ml,离床时间(8.1±2.5)h,肛门排气时间(10.4±3.5)h,术后拔除尿管时间(8.5±3.4)h,住院时间(4.5±1.1)d。随访1～3年未发现化学性腹膜炎、肉芽肿及复发病例。结论腹腔镜下卵巢成熟性畸胎瘤剔除术安全、有效,且具有微创、术后恢复快、并发症少等优点,可作为首选的治疗方法。

CLINICAL ANALYSIS OF LAPAROSCOPIC TREATMENT IN 212 CASES MATURE OVARIAN TERATOMA

Objective To analyze the effect and clinical value of Laparoscopic treatment for mature ovarian teratoma. Methods Compared with the laparotomy group, application of laparoscopic treatment were retrospectively analyzed in 212 cases. Results 212 laparoscopic surgery all succeed, no one was transferred to laparotomy. The av- erage operation time （48.7 ± 11.8） mins, peri - operative bleeding （ 31.3± 5.7 ） ml, the laying time （ 8. 1± 2. 5 ） h, anus exhaust time（ 10. 4 ±3.5） h, catheter removal time（8. 5±3.4） h, duration of hospitalization（4. 5± 1.1 ） d. Follow - up 1 - 3 years found no chemical peritonitis, granuloma and recurrent cases. Conclusion Laparoscopy is a safe and effective surgery for mature ovarian teratoma. And it has the following merits ： minimally invasive, fast recovery and less complications, can be used as the preferred method of treatment.