腹腔镜卵巢囊肿核除术、阴式卵巢囊肿核除术治疗卵巢畸胎瘤对比观察

发布时间：2018-03-26 14:05

本文选题：畸胎瘤　切入点：卵巢畸胎瘤　出处：《山东医药》2017年19期

【摘要】：目的比较腹腔镜卵巢囊肿核除术、阴式卵巢囊肿核除术治疗卵巢畸胎瘤的临床效果。方法 84例卵巢畸胎瘤患者,分为A组56例、B组28例,A组行腹腔镜卵巢囊肿核除术;B组行阴式卵巢囊肿核除术。记录两组术中出血量、手术时间,比较两组术后24小时止痛药应用、发热情况,比较两组住院时间及住院费用。结果两组术中出血量、手术时间、术后止疼药应用、术后发热情况及术后住院时间差异无统计学意义(P均0.05)。与B组肿瘤直径10 cm者比较,A组肿瘤直径10 cm者术中出血量多、手术时间短、住院费用多(P均0.05)。结论腹腔镜卵巢囊肿核除术及阴式卵巢囊肿核除术治疗卵巢畸胎瘤效果均较好。但肿瘤直径10 cm者,阴式卵巢囊肿核除术手术时间短、术中出血量少、住院费用少。
[Abstract]:Objective to compare the clinical effects of laparoscopic ovarian cyst nucleus removal and vaginal ovarian cyst nucleus removal in the treatment of ovarian teratoma. There were 56 cases in group A, 28 cases in group A, and 28 cases in group A underwent laparoscopic ovarian cyst nucleus removal. The volume of bleeding during operation and the time of operation were recorded in group B. the analgesics were used 24 hours after operation and the fever was compared between the two groups. Results the amount of intraoperative bleeding, the time of operation and the application of painkillers after operation were compared between the two groups. There was no significant difference in postoperative fever and postoperative hospitalization time (P < 0.05). Compared with group B, group A had more intraoperative bleeding and shorter operative time than group B with a diameter of 10 cm. Conclusion Laparoscopic ovarian cyst nucleus removal and vaginal ovarian cyst nucleus removal are effective in the treatment of ovarian teratoma, but in patients with tumor diameter of 10 cm, the operative time is short and the amount of intraoperative bleeding is less in the patients with 10 cm tumor diameter. The cost of hospitalization is low.
【作者单位】：中国医科大学附属盛京医院;
【分类号】：R737.31

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