摘要
Abstract
Objective:To investigate the feasibility of laparoscopic surgery for ovarian tumor during the second trimester of pregnancy.Method: 40 cases of mid-term pregnancy with ovarian tumors were admitted to our hospital from March 2007 to October 2013.18 cases were treated with laparoscopic surgery under general anesthesia as the laparoscopic group,22 cases were treated with traditional open surgery under intraspinal anesthesia as the open group,the therapeutic effects and the influence of pregnancy after surgery of two groups were compared.Result:In the laparoscopic group,12 cases of tumorectomy and 6 cases of adnexectomy were successfully performed , the success rate was 100%;in the open group, 15 cases of tumor removal, 7 cases of appendix resection, the success rate is 100%,15 cases of tumorectomy and 7 cases of adnexectomy,the successful rate was 100%,the two groups had not statistically significance difference (P>0.05).The operation time, amount of bleeding, postoperative exhaust time and postoperative hospital stay of laparoscopic group was respectively (45.68±6.24)min, (25.64±4.78)mL,(18.66±8.42)h and (3.24±1.02)d, the open group of that was respectively (55.46±6.18)min,(36.00±8.53)mL,(45.78±4.86)h and (7.12±1.46) d, the laparoscopic group of these were better than the open group, the differences were statistically significant(P<0.05). Two groups had no surgery complications, no signs of abortion after surgery.Followed up to birth, 15 cases in the laparoscopic group with 38-39+5 weeks of natural delivery, 3 cases were due to obstetric factors of cesarean section;16 cases in the open group 37+5-40+2 weeks of natural childbirth pregnancy, 6 cases were due to obstetric factors of cesarean section,compared the gestational week of two groups, the difference was not statistically significant(P<0.05).The neonatal Apgar score of laparoscopic group was (9.8±0.2)score,laparotomy group was (9.7±0.3) score, compared two groups, the difference was not statistically significant(P<0.05).Conclusion:Ovarian tumor during the second trimester of pregnancy should be treated by surgery when it has surgery indications,laparoscopic surgery is safe and feasible.关键词
卵巢肿瘤/中期妊娠/手术/腹腔镜Key words
Ovarian tumor/Pregnancy/Laparoscopic surgery/Open surgery
