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目的探讨腹腔镜手术治疗卵巢囊性成熟性畸胎瘤的优势。方法对153例绝经前卵巢囊性成熟性畸胎瘤做一回顾性分析,其中68例行腹腔镜畸胎瘤剥出术,85例行开腹畸胎瘤剥出术。结果68例腹腔镜手术均顺利完成,与开腹相比,腹腔镜的手术时间较短(P<0.01),术中出血较少(P<0.01);术后肛门排气发生时间较早(P<0.01),术后病率发生率较低(P<0.01),术后住院天数较少(P<0.05)。结论对大多数良性畸胎瘤来说,腹腔镜手术比开腹手术更有优势。
Objective To investigate the advantages of laparoscopic surgery for ovarian cystic teratoma. Methods A retrospective analysis of 153 cases of premature ovarian cystic maturation teratoma, of which 68 cases of laparoscopic teratoma excision, 85 cases of open teratoma rupture. Results 68 cases of laparoscopic surgery were successfully completed, compared with laparotomy, laparoscopic surgery time was shorter (P <0.01), less bleeding during surgery (P <0.01); anal exhaust after the onset of time earlier P <0.01). The incidence of postoperative morbidity was lower (P <0.01), and the number of postoperative hospital days was less (P <0.05). Conclusions Laparoscopic surgery is more advantageous than laparotomy for most benign teratomas.