腹腔镜手术在儿童卵巢肿瘤治疗中的应用

发布时间：2018-03-24 17:22

本文选题：卵巢肿瘤　切入点：腹腔镜手术　出处：《中国内镜杂志》2015年09期

【摘要】：目的探讨腹腔镜手术在儿童卵巢肿瘤治疗中的效果及注意事项。方法回顾性分析2006年7月-2013年12月该院运用腹腔镜手术治疗的38例儿童卵巢肿瘤的临床资料。结果所有病例均在腹腔镜下完成,无1例中转开腹,无术中并发症发生。行卵巢肿瘤剥除术35例,其中5例为卵巢囊肿蒂扭转,经复位后卵巢血供良好。3例早期生殖细胞肿瘤最终行患侧卵巢输卵管切除。手术平均时间(35±15)min,术后12~24 h肛门恢复排气,术后恢复良好,平均住院时间(4±1)d。33例随访8个月~7年,患儿无生长发育异常。3例生殖细胞肿瘤患儿随访24~51个月,未发现肿瘤复发征象。结论腹腔镜手术治疗儿童卵巢肿瘤具有损伤小、术后恢复快及并发症少等优点。术前要注意患者的选择,术中注意气腹压力的控制,注意卵巢功能的保护及遵循无瘤原则。
[Abstract]:Objective to investigate the effect and attention of laparoscopic surgery in the treatment of ovarian tumors in children. Methods the clinical data of 38 children with ovarian tumors treated by laparoscopic surgery from July 2006 to December 2013 were retrospectively analyzed. If all cases were performed under laparoscopy, There was no conversion to laparotomy, no complications occurred during operation. 35 cases underwent ovarian tumor excision, 5 of which were pedicle torsion of ovarian cyst. After reduction, oviductal resection was performed in 3 cases of early germ cell tumor with good blood supply. The mean operative time was 35 卤15 min, the anus exhalation was recovered at 12h after operation, and the postoperative recovery was good. The average hospitalization time was 4 卤1)d.33 for 8 months to 7 years. The follow-up of 3 cases of germ cell tumor without abnormal growth and development for 24 ~ 51 months showed no recurrence signs. Conclusion Laparoscopic surgery has little damage in the treatment of ovarian tumors in children. Before operation, attention should be paid to the choice of patients, the control of pneumoperitoneum pressure, the protection of ovarian function and the principle of non-tumor.
【作者单位】：浙江省人民医院妇科;
【分类号】：R737.31

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