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目的探讨卵巢成熟畸胎瘤患者术后发热相关因素。方法对2010年9月-2013年8月经手术治疗且病理确诊为卵巢成熟畸胎瘤患者进行研究,将88例术后发热患者纳入发热组,100例术后无发热的患者纳入对照组,对两组病历资料进行回顾性病例对照研究。结果发热组和对照组住院时间分别为(5.68±1.53)、(3.28±1.18)d,开腹手术构成比分别为38.64%(34/88)、20.00%(20/100),瘤体最大径线分别为(6.65±3.07)、(5.33±1.87)cm,两组比较差异均有统计学意义(P<0.05);两组在年龄、体质量指数、术前体温、术前CA199、术前瘤体扭转、术前使用抗生素、瘤体特征(有无骨质、是否多房、是否双侧)、手术时间、术中出血量、盆腔粘连、安放腹腔引流管等方面差异均无统计学意义(P>0.05)。结论卵巢成熟畸胎瘤患者术后发热与手术方式、瘤体大小相关,且影响住院时间;应当加强妇科检查,对于成熟畸胎瘤的早期发现和手术方式的合理选择均可减少术后发热的发生,从而缩短住院时间,节省医疗资源。
Objective To investigate the related factors of postoperative fever in mature ovarian teratoma patients. Methods From September 2010 to August 2013, 88 patients with pathologically confirmed ovarian teratoma were enrolled in the study. 88 patients with fever were included in the fever group and 100 patients without fever were included in the control group. Two sets of medical records were retrospective case-control study. Results The length of hospital stay in the fever group and the control group were (5.68 ± 1.53) and (3.28 ± 1.18) days, respectively. The open surgery proportions were 38.64% (34/88) and 20.00% (20/100), respectively. (6.65 ± 3.07) and (5.33 ± 1.87) cm respectively. The difference between the two groups was statistically significant (P <0.05). The age, body mass index, preoperative body temperature, preoperative CA199, preoperative There was no significant difference in tumor torsion, preoperative use of antibiotics, tumor characteristics (with or without bone, multiple rooms, bilateral), operation time, intraoperative blood loss, pelvic adhesions, placement of abdominal drainage tube, etc. (P> 0.05). Conclusion The postoperative fever in patients with mature ovarian teratoma is related to the operation method and tumor size, and affects the length of hospital stay. Gynecological examination should be strengthened, and the early detection of mature teratoma and the rational choice of surgical methods can reduce postoperative fever Occur, thus shortening hospital stay, saving medical resources.