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目的 :探讨在腹腔镜下切除卵巢良性畸胎瘤的手术要点及临床应用价值。方法 :1997年 5月～ 1998年12月对 3 0例卵巢畸胎瘤患者在腹腔镜下行肿物剥除术或附件切除术。肿物大 3～ 15cm ,双侧卵巢病变者 4例 ,既往有下腹部手术史者 7例。结果 :3 0例患者腹腔镜畸胎瘤手术全部成功 ,平均手术时间 110min ,出血量均 <2 0ml,术后平均住院 3 .5d ,全部病人随访 4～ 2 3月无不适主诉 ,未见复发。结论 :腹腔镜下行良性畸胎瘤手术切除是一种安全、有效的手术方法 ,具有损伤小 ,恢复快 ,无后遗症等优点。
Objective: To investigate the operative points and clinical value of laparoscopic removal of benign ovarian teratoma. Methods: From May 1997 to December 1998, 30 patients with ovarian teratoma underwent laparoscopic resection of the tumor or attachments. Large tumor 3 ~ 15cm, bilateral ovarian lesions in 4 cases, previous history of lower abdominal surgery in 7 cases. Results: Totally 30 laparoscopic teratoma surgeries were performed successfully. The average operation time was 110 min. The mean amount of bleeding was <20 ml. The average postoperative hospital stay was 3.5 days. All the patients were followed up for 4 ~ 2 months without complaints. No recurrence was found . Conclusions: Laparoscopic surgical removal of benign teratoma is a safe and effective surgical method, with the advantages of less damage, quick recovery and no sequelae.