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目的:探讨腹腔镜手术治疗小儿卵巢良性肿瘤的疗效、优点及注意事项。方法:回顾分析我院2005年1月—2012年12月为28例小儿卵巢良性肿瘤患者施行腹腔镜手术的临床资料。年龄最小5岁,最大12岁,平均年龄8.6岁。结果:28例手术均获成功。其中25例完整剥除肿瘤,3例因卵巢扭转坏死行患侧附件切除术。手术时间平均(30±11)min,术中出血量平均(10±5)m L,术后住院日平均(4±1)日。术后无一例并发症。术后随访6个月~18个月,均无复发。结论:随着腹腔镜技术的成熟及被社会的认可,其应用领域逐渐扩大,小儿卵巢良性肿瘤应用腹腔镜治疗疗效肯定、安全,值得临床推广应用。
Objective: To investigate the efficacy, advantages and precautions of laparoscopic surgery in the treatment of benign ovarian tumors in children. Methods: A retrospective analysis of our hospital from January 2005 to December 2012 for 28 cases of benign ovarian tumors in patients undergoing laparoscopic surgery clinical data. The youngest 5 years old, maximum 12 years old, average age 8.6 years old. Results: All 28 cases were successful. Twenty-five of them completely removed the tumor and three had ipsilateral attachment excision due to torsion and necrosis of the ovary. The average operation time was (30 ± 11) min, the average amount of bleeding during operation was (10 ± 5) m L, and the average postoperative hospital stay was (4 ± 1) days. No postoperative complications. All patients were followed up for 6 months to 18 months without recurrence. Conclusion: With the maturity of laparoscopy and social recognition, its application fields are gradually expanding. The application of laparoscopic treatment of benign ovarian tumors in children is definite and safe, which is worthy of clinical application.