卵巢成熟性畸胎瘤腹腔镜手术与开腹手术对比分析

发布时间：2018-05-12 15:29

本文选题：腹腔镜手术 + 开腹手术　；参考：《南京医科大学学报(自然科学版)》2015年12期

【摘要】：目的 :探讨腹腔镜手术治疗卵巢成熟性畸胎瘤的疗效及应用前景。方法 :分析本院2011年12月—2014年11月接受腹腔镜手术和开腹手术治疗卵巢成熟性畸胎瘤病例,对两组患者的手术效果、手术前后白介素6(IL-6)水平和CD4+/CD8+水平进行比较。结果:腹腔镜组相对于开腹组出血量少、肛门排气时间短、术后体温恢复快、住院时间短,差异有统计学意义(P0.05)。两组在手术时间上无明显差异(P0.05)。两组手术患者的外周血IL-6水平和CD4+/CD8+水平在术前无显著性差异(P0.05),在术后1 d和术后4 d差异显著(P0.05);腹腔镜组术后4 d外周血IL-6和CD4+/CD8+水平与术前相比无显著性差异(P0.05),而开腹组术后1 d和术后4 d与术前比较,差异均有统计学意义(P0.05)。结论:腹腔镜手术用于卵巢成熟性畸胎瘤具有出血少、恢复快、对机体免疫功能损伤小等优点,具有良好的应用前景。
[Abstract]:Objective: To explore the effect and Prospect of laparoscopy in the treatment of mature teratoma of the ovary. Methods: to analyze the effect of laparoscopic operation and laparotomy in the treatment of mature teratoma of the ovary from December 2011 to November 2014 in two groups, and compare the level of interleukin 6 (IL-6) and the level of CD4+/CD8+ before and after the operation. Results: the bleeding amount of the laparoscope group was less than that of the open group, the time of anus exhaust was short, the body temperature was quickly recovered and the time of hospitalization was short, the difference was statistically significant (P0.05). There was no significant difference between the two groups (P0.05). There was no significant difference between the peripheral blood IL-6 level and CD4+ /CD8+ level in the two groups (P0.05), and 1 d after the operation. The difference of 4 d after operation was significant (P0.05), and there was no significant difference in the level of IL-6 and CD4+/CD8+ in peripheral blood of 4 d after operation (P0.05), but 1 d after operation and 4 d after operation were statistically significant (P0.05). Conclusion: laparoscopic operation for ovarian mature teratoma has less bleeding, faster recovery and immunity to the body. It has advantages of less functional damage, and has good application prospects.

【作者单位】：南京医科大学第一附属医院妇科;
【基金】：教育部留学回国人员科研启动基金资助
【分类号】：R737.31

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