腹腔鏡與開腹手術治療卵巢成熟畸胎瘤的對比分析

【摘要】 目的 探討腹腔鏡手術治療卵巢成熟畸胎瘤的臨床價值。方法 選取216例確診成熟畸胎瘤患者，隨機分為兩組，觀察組96例，行腹腔鏡下畸胎瘤剝出術，對照組120例，行開腹畸胎瘤剝出術，對比觀察兩組術中術后情況。結果 兩組均成功完成手術，無需輸血，無鄰近器官損傷，術中術后均無手術并發癥。兩組手術時間、術中囊腫破裂率比較無顯著性差異（P＞0.05），觀察組的術口大小、術中出血量、術后鎮痛藥使用率均小于對照組（P＜0.01），術后禁食時間、肛門排氣時間、術后住院時間均短于對照組（P＜0.01）。兩組術后復發率比較無顯著性差異（P＞0.05）。結論 腹腔鏡手術在卵巢良性畸胎瘤的治療上較傳統開腹手術具有明顯的優越性，且安全性好，值得推廣。

【關鍵詞】 卵巢成熟畸胎瘤；腹腔鏡；手術治療

文章編號：1003-1383(2010)02-0133-03

中圖分類號：R 737.31文獻標識碼：A

doi:10.3969/j.issn.1003-1383.2010.02.007

Contrastive analysis of the peritoneoscope and the abdomen surgery for the mature ovary teratoma

SHI Guiling，LEI Zhiying，WU Huizhen，JIANG Luiyan

（Department of Obstetrics and Gynecology，Affiliated Hospital ofYoujiang Medical University for Nationalities，Guangxi，Baise，533000，China）

【Abstract】 Objective To discuss the clinical value of the peritoneoscope operation for mature ovary teratoma.

Methods Choose 216 cases with mature ovary teratoma were chosen and divided into two groups randomly.Treatment group (96 cases) were given peritoneoscope operation while control group(120 cases) were given abdomen surgery.Results Both group were completed the operation successfully，no bloodtransfusion and no adjacent organ injury，no operative complication were found during and after the operation. There were no significant difference betweem their operative timetheir operative time andCyst rupture rate (P＜0.05).the length of the incision，bleeding loss and the analgesics using rate of treatment group was less than those of the control group(P＜0.01).the time of fasting and anale exsufflation and hospitalization of treatment group was shorter than those of control group (P＜0.01) there was no significant difference of the recurrent rate between the two groups(P＞0.05).Con

clusion The peritoneoscope operation for mature ovary teratoma is better than the tradition opens abdomen operation，it is safe and worth popularizing.

【Key words】 varian mature teratoma；laparoscopy；surgery

卵巢成熟畸胎瘤又稱為皮樣囊腫，屬良性腫瘤，可發生于任何年齡，以20～40歲居多，占卵巢腫瘤的10%～20%，多為單側，雙側占10%～17%［1］，壁光滑，中等大小，圓形或橢圓形，多為單房，腔內充滿脂肪和毛發，有時可見牙齒和骨質，部分可發生蒂扭轉、破裂、感染、惡變。以往治療卵巢成熟畸胎瘤主要采用開腹手術，近年來，隨著微創技術的發展，電視腹腔鏡下手術治療卵巢成熟畸胎瘤已被廣泛接受。我院2004年1月至2009年2月共進行腹腔鏡手術治療卵巢成熟畸胎瘤96例，療效滿意，現報道如下。

資料與方法

1.一般資料 2004年1月至2009年2月我院共收治卵巢腫瘤患者578例，其中216例經過婦檢、B超、CT及婦科腫瘤標志物檢查，臨床診斷為卵巢成熟畸胎瘤，無合并妊娠，無內外科合并癥。……