腹腔镜手术治疗卵巢成熟畸胎瘤疗效观察.doc

腹腔镜手术治疗卵巢成熟畸胎瘤疗效观察【摘要】 目的 探讨腹腔镜治疗成熟畸胎瘤的临床疗效及安全性。方法 将100例成熟畸胎瘤患者纳入研究，按入院先后顺序，随机分为观察组与对照组（每组各50例），观察组给予腹腔镜下畸胎瘤剥除术，对照组给予开腹畸胎瘤剥除术，比较两组的手术时间、术中出血量、术中囊肿破裂几率、肛门排气时间、住院时间等各项临床指标。结?果 ?观察组的术中出血量、肛门排气时间、住院时间均低于开腹组，差异有统计学意义(?P?0.05)。结论 腹腔镜手术治疗成熟畸胎瘤优于开腹手术，具有创伤小、术中出血少、术后恢复快等优点，是一种较为理想的手术方法，值得推广。? 【关键词】 腹腔镜手术； 开腹手术； 成熟畸胎瘤； 疗效观察?? Clinical efficacy of laparoscopic surgery in treatment of mature teratoma ?LU Tian-ying.Shifang Maternal and Child Health Hospital,Shifang 618400,China?? 【Abstract】 Objective To explore the clinical efficacy of laparoscopic surgery in treatment of mature teratoma.Methods 100 patients with mature teratoma were included in the study.According to admission order,they were randomly divided into observation group and control group (?n?=50).Observation group was given teratoma laparoscopic cystectomy,while the control group was given the line abdominal teratoma cystectomy.All clinical indicators were compared,including operative time,blood loss,intraoperative cyst rupture risk,anal exhaust time,hospital stay.Results Surgical blood loss,postoperative discharge time,postoperative morbidity and hospital stay in the observation group were significantly lower than those of the control group(?P? 0.05).Conclusion Laparoscopic surgery is superior to open surgery in treatment of mature teratoma, with trauma, less bleeding, rapid postoperative recovery, etc, is an ideal surgical approach and should be promoted.? 【Key words】 Laparoscopic surgery; Open surgery; Mature teratoma; Efficacy ?? 卵巢成熟畸胎瘤是最常见的卵巢良性肿瘤，可发生于任何年龄，以20～40岁居多。传统治疗方法为开腹行囊肿剥除手术。近年来，随着腹腔镜技术的发展与应用，腹腔镜手术逐渐取代开腹成为治疗卵巢畸胎瘤的主要方式［1］。本研究通过比较腹腔镜手术与开腹治疗卵巢成熟畸胎瘤的临床资料，以探讨腹腔镜手术治疗卵巢良性畸胎瘤的疗效及安全性，现报道如下。? 1 资料与方法? 1.1 一般资料 2009年1月～2011年6月，将通过病史、妇科检查、B超检查、血清甲胎蛋白(AFP)卵巢癌抗原(CA??125?)、糖类抗原(CA??199?)、癌胚抗原(CEA)等检查排除恶性的成熟畸胎瘤患者100例纳入研究，按入院的先后顺序，随机分为观察组与对照组，每组各50例。两组年龄、肿瘤直径等一般情况比较，差异均无统计学意义（?P?0.05），具有可比性，见表1。? 1.2 手术方法 观察组给予腹腔镜下畸胎瘤剥除术，对照组给予开腹畸胎瘤剥除术。? 1.2.1 腹腔镜手术 气管插管全身麻醉，膀胱截石位，常规脐部穿刺10 mm套管针，置镜，探查盆、腹腔后，分别