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目的探讨腹腔镜下卵巢良性畸胎瘤手术的可行性及临床应用价值。方法 128例卵巢良性畸胎瘤患者随机分为观察组和对照组,观察组在腹腔镜下行卵巢良性畸胎瘤手术,对照组给予传统开腹手术。结果观察组除手术时间外,术中出血量、拔尿管时间、肛门排气时间、住院时间及下床活动时间均少于对照组(P<0.05)。术后6～12个月观察组并发症发生率为6.15%,对照组并发症发生率为23.81%,两组差异有统计学意义(P<0.05)。结论腹腔镜下卵巢良性畸胎瘤手术具有肠道干扰少、术中出血少、住院时间短等优点,在临床中应用安全可行。
Objective To investigate the feasibility and clinical value of laparoscopic benign ovarian teratoma surgery. Methods 128 cases of benign ovarian teratoma were randomly divided into observation group and control group. The observation group underwent laparoscopic surgery for ovarian benign teratoma while the control group received conventional laparotomy. Results In the observation group, except for the operation time, the amount of bleeding, catheter removal, anal exhaust time, hospital stay and time to bed were less than those in the control group (P <0.05). The incidence of complications in the observation group was 6.15% and the incidence of complications in the control group was 23.81% from 6 to 12 months after operation. The difference between the two groups was statistically significant (P <0.05). Conclusion Laparoscopic benign ovarian teratoma surgery has the advantages of less intestinal disturbance, less intraoperative bleeding, shorter hospital stay, and is safe and feasible in clinical practice.