[1]苏园园,韩燕华,陈汝虹,等.腹腔镜手术治疗小儿卵巢肿瘤26例[J].中国微创外科杂志,2006,06(6):447-450.
　Su Yuanyuan,Han Yanhua,Chen Ruhong,et al.Laparoscopic operations for ovarian tumors: Experience of 26 children[J].Chinese Journal of Minimally Invasive Surgery,2006,06(6):447-450.
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腹腔镜手术治疗小儿卵巢肿瘤26例()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
06
期数:
2006年6期
页码:
447-450
栏目:
出版日期:
2006-06-20

文章信息/Info

Title:
Laparoscopic operations for ovarian tumors: Experience of 26 children
作者:
苏园园; 韩燕华; 陈汝虹; 黄瑾; 翁丽
广东省中山市人民医院妇产科,中山,528400
Author(s):
Su Yuanyuan;  Han Yanhua;  Chen Ruhong;  et al.
Department of Obstetrics & Gynecology, Zhongshan People’s Hospital, Zhongshan 528400, China
关键词:
腹腔镜; 卵巢肿瘤; 小儿妇科
Keywords:
Laparoscopy; 　Ovarian tumor; 　Pediatric gynecology
分类号:
R737.31;R726.1
文献标志码:
A
摘要:
目的探讨腹腔镜手术治疗小儿卵巢肿瘤的效果及安全性. 方法 2000年1月～2005年3月,我们对26例小儿卵巢肿瘤行腹腔镜手术.气管插管全麻或静脉复合麻醉,行卵巢肿瘤剥除术或一侧附件切除术.对直径<5 cm的肿瘤,在肿瘤的外侧缘线形电凝囊肿包膜;直径>5 cm的肿瘤,在其中部或距基底部3 cm处环形电凝囊肿包膜,钝性分离肿瘤与囊壁,完整剥出肿瘤,残余囊壁创面彻底电凝止血,不缝合.卵巢冠囊肿切除.影响术野的大卵巢囊肿,先穿刺吸净囊液,帽状电凝卵巢囊肿包膜一周,再剥出肿瘤. 结果所有患儿卵巢肿瘤手术都在腹腔镜下完成,肿瘤剥除术24例,一侧附件切除2例.手术时间(50±20) min,术中出血量(30±10) ml,术后住院2～4 d,无手术并发症,无伤口感染.24例随访1年,未见复发. 结论腹腔镜手术治疗小儿卵巢肿瘤是一种安全、有效的手术方法.
Abstract:
Objective　To investigate the efficacy and safety of laparoscopic operations of ovarian tumors in children.　 M ethods　A total of 24 children with ovarian tumors treated laparoscopically from January 2000 toMarch 2005 were studied. The laparoscopic operations ( tumor enucleation or unilateral adnexectomy) were conducted under general anesthesia with endotracheal intubation. Electrocoagulation of the capsule was performed alongside the borderline of the lesion for tumors < 5 cm in diameter, or was performed circlewise in the central part or at the site 3 cm apart from the basal partof the lesion for tumors > 5 cm in diameter. After bluntdissection of the tumor and capsule, the lesion was completely enucleated. Hemostasis of the residual cut surface was accomplished by using electrocoagulation, with no need of suture. For large ovarian cysts disturbing laparoscopic visualization, the aspiration of hydatid fluid was conducted before the enucleation.　Results　All the operations were successful completed under laparoscope, including 24 cases of tumor enucleation and 2 cases ofunilateral adnexectomy. The operation timewas 50±20 min, the amount ofhemorrhagewas 30±10 m,l and the postoperative hospital staywas 2~4 d. No surgical complications orwound infection occurred. Follow-up in the 24 cases for 1 year found no recurrence.　Conclusions　Laparoscopic operations for ovarian tumor in children is safe and effective.

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更新日期/Last Update: 2014-01-27