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目的探讨腹腔镜手术治疗中期妊娠合并卵巢良性肿瘤的安全性与可行性。方法回顾性分析郑州大学第一附属医院行手术治疗的27例中期妊娠(13~28周)合并卵巢良性肿瘤患者的临床资料(腹腔镜手术13例,开腹手术14例)。结果腹腔镜手术组出血量少于开腹手术组[(16±6)ml vs(39±25)ml,P=0.004],切口疼痛评分、术后肛门排气时间、住院时间及术后盆腔粘连发生率均小于开腹手术组(P<0.05),两组患者新生儿体重及Apgar评分未见明显差异(P>0.05)。结论腹腔镜手术治疗中期妊娠合并卵巢良性肿瘤安全可行。
Objective To investigate the safety and feasibility of laparoscopic surgery in the treatment of mid-term pregnancy combined with benign ovarian tumors. Methods The clinical data of 27 patients with metachronous ovarian benign tumor who underwent surgery from the First Affiliated Hospital of Zhengzhou University were retrospectively analyzed (laparoscopic surgery in 13 and laparotomy in 14). Results The bleeding volume of laparoscopic surgery group was less than that of laparotomy group [(16 ± 6) ml vs (39 ± 25) ml, P = 0.004], incision pain score, postoperative anal exhaust time, hospital stay and pelvic The incidence of adhesion was less than that of the laparotomy group (P <0.05). There was no significant difference in neonatal weight and Apgar score between the two groups (P> 0.05). Conclusions Laparoscopic surgery is safe and feasible in the treatment of middle-term pregnancy combined with benign ovarian tumors.