90例腹腔镜下畸胎瘤剥离术临床价值.docVIP

90例腹腔镜下畸胎瘤剥离术的临床价值 　　【摘要】目的：探讨腹腔镜对畸胎瘤剥离的损伤及恢复的效果，总结腹腔镜下畸胎瘤剥离术后护理的注意事项。将90腔内畸胎瘤患者分成腹腔镜组和开腹组，腹腔镜组行腹腔镜下畸胎瘤剥离术和外科一般护理方法。开腹组给予开腹直视畸胎瘤分离术和外科一般护理方法。结果：90术后15天内全部痊愈出院，治疗组50例术后6天内出院的42例，恢复率84%。对照组40例，其术后6天出院的26例，恢复率为65%。两组差异有统计学意义。结论：可以认为经腹腔镜下行畸胎瘤剥离术的恢复有利与开腹直视下畸胎瘤剥离术，并可减少手术对患者造成的损伤。在行腹腔镜下畸胎瘤剥离术的基础上，患者应积极主动配合医护人员，术后根据病情尽早下床活动，注意饮食调理，增加机体恢复能力，提高术后恢复率。 　　【关键词】成熟畸胎瘤；腹腔镜术；损伤；护理 　　【中图分类号】R711.75 【文献标识码】A 【文章编号】1008-6455（2011）12-0145-02 　　【Abstract】Objective: To evaluate the laparoscopic dissection of the teratoma damage and recovery effects, concluded after laparoscopic stripping teratoma care considerations.90 patients were divided into the cavity teratoma laparoscopic group and the laparotomy group, the laparoscopic group teratoma laparoscopic dissection and surgical general care methods.Abdominal laparotomy group was given open heart surgery and surgical separation teratoma general care methods.Results: All 90 patients were discharged within 15 days, the treatment group, 50 patients were discharged after 6 days of the 42 cases, 84% recovery rate.Control group of 40 patients, after six days of their discharge in 26 cases, recovery was 65%.The difference was statistically significant.Conclusion: The laparoscopic teratoma that the recovery of dissection beneficial teratoma with abdominal dissection under direct vision, and reduce the damage caused by surgical patients.Teratoma line of laparoscopic dissection, based on the patients with the medical staff should be proactive, getting out of bed as soon as possible after the condition of patients, diet conditioning, increase the body’s ability to recover and improve the postoperative recovery rate. 　　【Key words】mature teratoma; laparoscopy; injury; care 　　成熟畸胎瘤属良性肿瘤，又称皮样囊肿，是一种单房或多房薄壁囊肿，因囊内多衬以鳞状上皮及其附属物而得名。囊内有结节状物、毛发及皮脂类物。是最常见的卵巢肿瘤。一经确诊应手术治疗〖1〗。本文探讨和总结了2010年1月-2011年5月我院为50例患者行腹腔镜下成熟畸胎瘤剥离术与40例开腹组做了对比分析。 　　1 临床资料 　　1.1 一般资料:2010年1月-2011年5月我院收诊90例畸胎瘤患者。根据患者症状、体征、彩色多普勒超声扫描及肿瘤标记物检验结果，均基本明确诊断为卵巢良性畸胎瘤。术前均与患者及家属详细说明2种手术方法的优缺点，根据患者的意愿分