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目的:通过对腹腔镜及阴式手术治疗卵巢畸胎瘤的临床比较,探讨两种不同手术路径的最佳选择方式。方法:回顾性分析贵州省人民医院妇科2008年8月～2011年8月3年间已婚有性生活因卵巢畸胎瘤收住院的女性患者55例,经腹腔镜手术30例,经阴道手术25例。两者在手术出血量、卵巢成形前及卵巢成形后所用的手术时间、术后住院时间进行统计学比较。结果:两组在手术出血量、卵巢成形前所用的手术时间、术后住院时间差异无统计学意义(P>0.05);而在卵巢成形后所用的手术时间比较,差异有统计学意义(P<0.05)。经腹腔镜手术中>10 cm的卵巢囊肿手术时间与经阴道相比较,差异有统计学意义。结论:囊肿直径>10 cm的卵巢畸胎瘤行阴式手术,直径<10 cm的卵巢畸胎瘤行腹腔镜手术,可缩短手术时间,简化手术难度,更有利于体现微创手术的优势。有手术史者对选择手术路径无影响。
Objective: Through the laparoscopic and vaginal surgery for the treatment of ovarian teratoma clinical comparison, to explore the best choice of two different surgical approach. Methods: A retrospective analysis of Guizhou Provincial People ’s Hospital gynecological August 2008 ~ August 2011 3 years married married women with ovarian teratoma hospitalized female patients 55 cases, 30 cases of laparoscopic surgery, vaginal surgery 25 example. Both in the amount of surgical bleeding, ovarian before ovarian formation and the use of surgery time, postoperative hospital stay for statistical comparison. Results: There was no significant difference between the two groups in the amount of operation bleeding, operation time before ovarian formation and postoperative hospital stay (P> 0.05), while the operation time after ovarian formation was significantly different (P <0.05). Laparoscopic surgery> 10 cm in ovarian cyst operation time compared with the vagina, the difference was statistically significant. Conclusions: Laparoscopic surgery of ovarian teratoma with cyst diameter> 10 cm and laparoscopic operation of ovarian teratoma with diameter less than 10 cm can shorten the operation time, simplify the operation and make it more conducive to the advantages of minimally invasive surgery. There is no history of surgery on the choice of surgical path.