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目的探讨小儿卵巢畸胎瘤的腹腔镜手术方式及疗效分析。方法 2010年8月至2012年8月新疆维吾尔自治区人民医院行腹腔镜手术治疗小儿卵巢畸胎瘤患儿36例,根据术中情况选择肿瘤剥除及附件切除。结果本组36例患儿手术均获成功,手术时间平均(35±10)min;术中出血少,平均出血量(10±5)ml。术后随访6～12个月均无复发。结论腹腔镜手术可放大周围解剖关系,保留正常卵巢组织,具有手术创伤小、术中出血少、手术简便、术后多无痛苦、恢复快、住院时间短、并发症少等优点,患儿及家属易于接受,值得临床推广应用。
Objective To investigate the laparoscopic operation and efficacy analysis of pediatric ovarian teratoma. Methods From August 2010 to August 2012, 36 cases of pediatric ovarian teratoma were treated by laparoscopic surgery in People’s Hospital of Xinjiang Uygur Autonomous Region. Tumor resection and accessory resection were selected according to the intraoperative conditions. Results All the 36 cases were operated successfully. The average operation time was 35 ± 10 minutes. The blood loss was less and the average amount of bleeding was (10 ± 5) ml. No follow-up of 6 to 12 months postoperative recurrence. Conclusions Laparoscopic surgery can magnify the surrounding anatomy and preserve the normal ovarian tissue. It has the advantages of less trauma, less intraoperative bleeding, simple operation, more painlessness, faster recovery, shorter hospital stay and fewer complications. Family members are easy to accept, worthy of clinical promotion and application.