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目的探讨腔镜下卵巢良性畸胎瘤剔除术的可行性。方法选择益阳市中心医院214例患者,分为两组,均于全身麻醉下完成手术,比较两组患者手术时间、术中出血、术后肛门排气时间以及总住院时间。结果两组在手术时间上差异无统计学意义(P>0.05),腔镜组术中出血少于开腹组(P<0.05),腔镜组术后肛门排气时间早于开腹组(P<0.05),腔镜组总住院时间短于开腹组(P<0.05),两组术中囊肿破裂率差异无统计学意义(P>0.05)。结论腹腔镜治疗卵巢良性畸胎瘤是一种安全有效的治疗手段,值得临床推广。
Objective To investigate the feasibility of endoscopic ovarian teratoma removal. Methods 214 patients in Yiyang Central Hospital were selected and divided into two groups. All patients underwent surgery under general anesthesia. The operation time, intraoperative bleeding, postoperative anal exhaust time and total hospital stay were compared. Results There was no significant difference in operation time between the two groups (P> 0.05), bleeding in the endoscopic group was less than that in the open group (P <0.05), and the time of anal exhaust in the endoscopic group was earlier than that in the open group P <0.05). The total length of hospital stay in laparoscopic group was shorter than that in open group (P <0.05). There was no significant difference in intraoperative cyst rupture rate between the two groups (P> 0.05). Conclusion Laparoscopic treatment of benign ovarian teratoma is a safe and effective treatment, it is worth clinical promotion.