[1]张生,郭朝,金先庆..不同手术方式治疗小儿卵巢肿瘤的疗效对比研究[J].临床小儿外科杂志,2018,17(12):939-942.
　Zhang Sheng,Guo Zhao,Jin Xianqing. Comparing effiacies of different operative approaches for pediatric ovary tumor.[J].Journal of Clinical Pediatric Surgery,2018,17(12):939-942.
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不同手术方式治疗小儿卵巢肿瘤的疗效对比研究

《临床小儿外科杂志》[ISSN:1671-6353/CN:43-1380/R] 卷: 第17卷 期数: 2018年12期 页码: 939-942 栏目: 论著 出版日期: 2018-12-18
Title:
 Comparing effiacies of different operative approaches for pediatric ovary tumor.
作者:
张生; 郭朝; 金先庆.
 西安市儿童医院普外一科
Author(s):
 Zhang Sheng; Guo Zhao; Jin Xianqing
 Department of General Surgery,Municipal Children’s Hospital,Xi an 710003,China
关键词:
 ; 卵巢肿瘤;  腹腔镜;  肿瘤标志物;  儿童
Keywords:
 ; Ovarian Tumor;  Laparoscopes;  Tumor Marker;  Child
文献标志码:
A
摘要:
 目的总结小儿卵巢肿瘤的临床特征、病理类型及手术方法，对比分析开放手术与腹腔镜手术治疗小儿卵巢肿瘤的疗效。方法回顾性分析65例小儿卵巢肿瘤患儿的临床特点、诊断方法、病理分型、治疗方案及预后随访资料。依据不同治疗方式分为开放手术组（n=28）和腹腔镜手术组(n=34)，比较开放手术和腹腔镜手术治疗小儿卵巢肿瘤的优缺点。结果开放手术组在住院时间上与腹腔镜手术组比较，差异无统计学意义(t= 0.463，P＞0.05)。开放手术组的手术时间、出血量与腹腔镜手术组比较，差异有统计学意义(P<0.05)。开放手术组中3例出现切口感染，1例盆腔脓肿，1例粘连性肠梗阻，并发症发生率为17.9%（5/28）。腹腔镜手术组中术后发生皮下气肿2例，切口感染1例，复发1例，并发症发生率为11.8%（4/34）。开放手术组术后并发症发生率与腹腔镜手术组相比，差异无统计学意义(χ2=1.76，P＞0．05)。 结论小儿卵巢肿瘤一经发现应早期手术，对良性肿瘤应尽量保留卵巢，腹腔镜手术是治疗小儿卵巢肿瘤的首选方法，创伤更小。
Abstract:
 ObjectiveTo summarize the clinical manifestations,pathological types,surgical techniques and tumor markers of ovarian tumor and boost its curative rate.Comparative efficacy analysis of open surgery versus laparoscopy for pediatric ovary tumor.MethodsTraditional open operation group was compared with laparoscopy group with regards to clinical features,diagnostic methods,pathological types,therapeutic methods and prognoses.ResultsThe time of laparoscopy was shorter than that of traditional open operation (P<0.05).No significant intergroup difference existed in time of hospitalization (P>0.05).Traditional open operation group had the onsets of incision infection (n=3),pelvic abscess (n=1) and adhesive intestinal obstruction (n=1); laparoscopy group had subcutaneous emphysema (n=2),incision infection (n=1) and recurrence (n=1).The incidence of complications was 17.9%（5/28） vs.11.8%（4/34）.ConclusionOvaries should be retained as much as possible during ovarian tumor surgery.Laparoscopy is a major noninvasive treatment for pediatric ovarian tumor.Regular followups should be conducted after discharge.

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更新日期/Last Update: 2018-12-19