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目的探索垂体后叶素在腹腔镜卵巢成熟性畸胎瘤剥除术中的应用价值。方法对我院2001年1月至2006年12月的86例卵巢成熟性畸胎瘤患者随机分成实验组和对照组。对照组采用常规剥除法,实验组使用稀释的垂体后叶素(6U+0.9%生理盐水50ml)注入卵巢囊肿壁与皮质间隙再行剥除。分析两组出血量、手术时间、囊肿破裂率。结果两组均在腹腔镜下顺利完成手术,实验组手术时间为(58.3±15.4)min,术中出血量为(42.6±26.0)ml,破裂率为23.2%(10/43);对照组手术时间为(65.5±18.7)min,术中出血量为(63.2±32.4)ml,破裂率为44.1%(19/43)。结论腹腔镜剥除卵巢成熟性畸胎瘤时在囊肿壁与卵巢间隙注入稀释的垂体后叶素能减少术中出血、囊肿破裂率,降低了手术难度,值得临床推广应用。
Objective To explore the value of pituitrin in laparoscopic mature ovarian teratoma stripping surgery. Methods A total of 86 patients with mature ovarian teratoma from January 2001 to December 2006 in our hospital were randomly divided into experimental group and control group. In the control group, the conventional stripping method was used. In the experimental group, diluted vasopressin (6U + 0.9% saline 50ml) was injected into the ovarian cyst wall and cortical space to strip. Analysis of two groups of bleeding, operation time, cyst rupture rate. Results The operation of the two groups was completed successfully under laparoscopy. The operation time was (58.3 ± 15.4) min in the experimental group, the bleeding volume was (42.6 ± 26.0) ml and the rupture rate was 23.2% (10/43) The time was (65.5 ± 18.7) min, the blood loss was (63.2 ± 32.4) ml and the rupture rate was 44.1% (19/43). Conclusion Laparoscopic stripping of ovarian mature teratoma in the cyst wall and ovarian gap injection of diluted pituitrin can reduce intraoperative bleeding, cyst rupture rate, reducing the difficulty of surgery, it is worth promoting the clinical application.