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目的探讨腹腔镜手术(LS)治疗卵巢成熟型畸胎瘤(MOCT)的临床疗效。方法2011年9月至2013年4月确诊的MOCT患者86例,分为LS组和开腹手术(OS)组,各43例。比较两组术中失血量、手术时间、术后住院时间、总费用、肛门排气时间、抗生素应用时间、止痛药应用情况和禁食时间,以及术后患者的月经和复发情况。结果 LS组患者的失血量、术后住院时间、肛门排气时间、抗生素应用时间、止痛药应用例数及禁食时间均明显少于OS组,两组手术时间无显著差异,LS组总费用明显高于OS组。随访结果显示,LS组月经异常3例,下腹痛5例,而OS组分别为9例和13例,差异有统计学意义(P<0.05)。结论 LS治疗MOCT,住院时间短,出血量更少,且疗效显著,值得进一步推广。
Objective To investigate the clinical efficacy of laparoscopic surgery (LS) in the treatment of mature ovarian teratoma (MOCT). Methods Totally 86 MOCT patients diagnosed from September 2011 to April 2013 were divided into LS group and open surgery group (43 cases). Blood loss, operation time, postoperative hospital stay, total cost, anal exhaust time, antibiotic application time, analgesic application and fasting time, and postoperative menstrual cycle and recurrence were compared between the two groups. Results The blood loss, postoperative hospital stay, anal exhaust time, antibiotic application time, analgesic application cases and fasting time in LS group were significantly less than those in OS group. There was no significant difference in operative time between the two groups Obviously higher than the OS group. The follow-up results showed that there were 3 cases of abnormal menstruation and 5 cases of lower abdominal pain in LS group, while there were 9 cases and 13 cases in OS group, the difference was statistically significant (P <0.05). Conclusion LS treatment of MOCT, shorter hospital stay, less bleeding, and significant effect, it is worth further promotion.