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目的比较腹腔镜与开腹两种手术方法治疗儿童及青少年卵巢良性肿瘤的临床效果。方法分析福建省妇幼保健院2012—2015年收治的104例<19岁卵巢良性肿瘤患者的临床表现、诊断、病理类型和治疗效果,按手术方式分为腹腔镜组(59例)和开腹组(45例),比较两种术式的术中、术后等情况。结果腹腔镜组术后肛门排气时间、下床时间、住院天数均较开腹组短;术后1个月腹腔镜组患者月经来潮率较高。结论腹腔镜手术治疗儿童及青少年卵巢良性肿瘤较开腹手术术后恢复更快。
Objective To compare the clinical effects of laparoscopy and laparotomy on benign ovarian tumors in children and adolescents. Methods The clinical manifestations, diagnosis, pathological types and therapeutic effects of 104 cases of benign ovarian tumors <19 years of age treated in Fujian MCH between 2012 and 2015 were divided into laparoscopic group (n = 59) and open group (45 cases), comparing the two types of surgery, postoperative and so on. Results The laparoscopic anus exhaust time, bed time and hospitalization days were shorter than those in the laparotomy group. The degree of menstrual cramps in the laparoscopic group was significantly higher at 1 month after operation. Conclusion Laparoscopic surgery in children and adolescents with benign ovarian tumors than postoperative recovery faster.