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目的:探讨儿童及青春期卵巢肿瘤腹腔镜手术治疗的可行性及效果。方法:对我院妇科2008年1月至2014年3月收治的42例儿童及青春期卵巢良性肿瘤手术治疗进行回顾性分析。结果:17例行开腹手术(开腹组),25例行腹腔镜手术(腹腔镜组)。其中39例行卵巢肿瘤剔除术,3例行附件切除术,腹腔组与开腹组比较,手术时间、术中出血量,术后住院日、术后留置尿管、术后肠道恢复时间及术后抗生素使用时间均显著缩短(P<0.01);而在年龄、肿瘤大小、病理结果及住院费用方面比较,差异无统计学意义(P>0.05);术中均未出现并发症,术后临床症状缓解。随诊15月~7年,2例失访,其余在随访过程中均无复发。结论:腹腔镜较开腹手术治疗比较,创伤小,出血少,手术时间缩短,恢复快,因而腹腔镜手术治疗儿童及青春期良性卵巢肿瘤是一种安全、有效的首选手术方法。
Objective: To investigate the feasibility and effect of laparoscopic surgery in children and adolescent ovarian tumors. Methods: A retrospective analysis of 42 cases of children and adolescent ovarian benign tumors treated in our hospital from January 2008 to March 2014 was retrospectively analyzed. Results: 17 cases underwent laparotomy (open group) and 25 under laparoscopic group (laparoscopic group). Among them, 39 cases were ovariectomized and 3 cases were treated with adjuvant resection. The operation time, intraoperative blood loss, postoperative hospital stay, postoperative ureteral catheterization, postoperative intestinal recovery time, The antibiotic use time was significantly shortened (P <0.01), while there was no significant difference in age, tumor size, pathological findings and hospitalization costs (P> 0.05). No complications were found during operation, Clinical symptoms relieved. Follow-up 15 months to 7 years, 2 cases were lost to follow-up, the rest of the follow-up no recurrence. Conclusions: Compared with laparotomy, laparoscopy has less trauma, less bleeding and shorter operative time and faster recovery. Therefore, laparoscopic surgery for children and adolescent benign ovarian tumors is a safe and effective first choice surgical method.