经阴道卵巢良性肿瘤切除术49例的临床体会.doc

精品论文 参考文献 经阴道卵巢良性肿瘤切除术49例的临床体会 李丽君（安徽省潁上县人民医院妇产科 安徽潁上 236200） 【中图分类号】R714【文献标识码】A【文章编号】1672-5085（2012）2-0221-03 【摘要】目的 探讨阴式卵巢肿瘤切除术的临床应用价值、手术技巧及卵巢良性肿瘤的适宜治疗方法。方法 选取有手术指征且直径＜10厘米的卵巢良性肿瘤患者49例为观察组，所有患者均需要保留子宫，同期类似病例49例为对照组，对比观察两组手术效果及手术并发症等。结果 两组手术出血量比较差异无统计学意义（p＞0.05），观察组的手术时间、肛门排气时间、下床活动时间、平均住院费用、术后住院天数、术后病率及镇痛剂的使用率与开腹组比较差异有统计学意义（p＜0.05）。结论 阴式卵巢良性肿瘤切除术具有简单、微创、恢复快、医疗费用低等优点。是目前基层医院治疗卵巢良性肿瘤的较为理想的术式。但其适用范围局限，临床医生应据自己的经验和适应证选择适合患者的术式。 【关键词】卵巢良性肿瘤 经阴道切除术 【Abstract】 Objective: To investigate the vaginal resection of ovarian cancer clinical value, surgical technique and appropriate treatment of benign ovarian tumors. Methods: The indication for surgery and diameter lt;10 cm were 49 cases of benign ovarian tumors for the observation group, all patients need to retain the uterus, 49 cases of similar cases over the same period as the control group, compared to results of operations were observed and surgical complications. Results: There were more operative blood loss was no significant difference (pgt;0.05), the observation group, the operation time, time to flatus, ambulation time, the average hospital cost, postoperative hospital stay, postoperative morbidity and town agent utilization and abdominal pain group difference was statistically significant (plt;0.05). Conclusion: Vaginal resection of benign ovarian tumors with a simple, minimally invasive, quick recovery,health care and low cost. Is the primary hospital for treatment of benign ovarian tumors of a more ideal surgical. However, its scope limited, clinicians should be according to their experience andindications of surgical options for patients. 【Key words】transvaginal resection of benign ovarian tumors 当前对需手术的卵巢良性肿瘤，一般采取开腹或腹腔镜手术的方式。据文献报道，在经阴道行子宫全切术的同时行附件手术是安全可行的[1]。我院在阴式子宫切除的基础上，于2008年9月开展了阴式卵巢良性肿瘤切除术，现报告如下： 1 资料和方法 1.1临床资料：选择我院2008年9月-2011年4月收治的有手术指征的卵巢良性肿瘤患者49例为观察组，所有患者均是已婚且要求保留子宫者，肿瘤直径均＜10厘米。同期类似病例49例为对照组。术前常规盆腔检查和B超检查，了解肿瘤的位置、大小、性质、数目、形状及活动度，并排除急性生殖道炎症。相关辅检包括宫颈刮片，以排除子宫颈癌，月经不规则的