Objective To explore the related factors for postoperative fever in patients with ovarian mature teratoma.
Methods A case-control study was conducted, and the subjects were patients with ovarian mature teratoma who had undergone surgical treatment in the hospital where the author works during September 2010 to August 2013. Eighty-eight cases diagnosed as ovarian mature teratoma with postoperative fever were included in the case group and 100 cases diagnosed as ovarian mature teratoma without postoperative fever were included in the control group. The medical records of the two groups were analyzed retrospectively.
Results Hospital stay of the case group and the control group was (5.68±1.53) and (3.28±1.18) days, respectively. The laparotomy ratio was 38.64% (34/88) and 20.00% (20/100); the tumor diameter was (6.65±3.07) cm and (5.33±1.87) cm, respectively. The difference in the above indicators between the two groups was significant (P<0.05). There was no significant difference in age, body mass index, body temperature before surgery, preoperative CA199, preoperative tumor torsion, preoperative antibiotics, tumor characteristics (bone, multi-room, bilateral), operative time, blood loss, pelvic adhesions, placing drainage tubes between the two groups (P>0.05).
Conclusion Postoperative fever of ovarian mature teratoma is related to surgical approach and tumor size. Hospital stay is associated with postoperative fever. We should strengthen the gynecological examination. Early detection and reasonable choice of surgical procedures can reduce the incidence of postoperative fever, thus shorten the hospital stay and save medical resources.
Citation：
NIEXiao-cheng. Research on Related Factors for Postoperative Fever in Patients with Ovarian Mature Teratoma. West China Medical Journal, 2014, 29(8): 1461-1463. doi: 10.7507/1002-0179.20140449
Copy
Copyright © the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
| 1. |
谢幸, 苟文丽. 妇产科学[M]. 8版. 北京:人民卫生出版社, 2013:328-329.
|
| 2. |
姚书忠, 姜红叶. 卵巢良性畸胎瘤的腹腔镜手术[J]. 腹腔镜外科杂志, 2011, 16(5):321-323.
|
| 3. |
柯妍, 余艳红, 张广亮, 等. 腹腔镜卵巢畸胎瘤切除术中瘤体破裂的影响因素及预后[J]. 中国妇幼保健, 2008, 23(9):1197-1199.
|
| 4. |
罗锦花, 齐荣义, 栾梅, 等. 卵巢成熟囊性畸胎瘤扭转破裂腹腔内种植囊肿1例[J]. 实用妇产科杂志, 2012, 28(9):766.
|
| 5. |
万学红, 卢雪峰. 诊断学[M]. 8版. 北京:人民卫生出版社, 2013:8-9.
|
| 6. |
郎景和, 冷金花. 妇科腹腔镜的现状及展望[J]. 实用妇产科杂志, 2002, 18(2):67-70.
|
| 7. |
张凯, 崔竹梅, 张佳. 卵巢成熟性畸胎瘤腹腔镜手术680例临床分析[J]. 中国内镜杂志, 2010, 16(9):930-933.
|
| 8. |
李洁华, 许丹, 卞书春. 腹腔镜与开腹手术剥除卵巢良性畸胎瘤对机体免疫功能影响的比较研究[J]. 实用妇产科杂志, 2010, 26(5):358-360.
|
| 9. |
王建国. 腹腔镜手术剥除卵巢成熟畸胎瘤30例分析[J]. 苏州大学学报·医学版, 2004, 24(6):944.
|
| 10. |
Hursitoglu BS, Demirtas GS, Demirtas O, et al. A clinico-pathological evaluation of 194 patients with ovarian teratoma:7-year experience in a single center[J]. Ginekologia polska, 2013, 84(2):108-111.
|
| 11. |
Murawski M, Gotebiewski A, Sroka MA. Laparoscopic management of giant ovarian cysts in adolescents[J]. Wideochir Inne Tech Malo Inwazyjne, 2012, 7(2):111-113.
|
| 12. |
Ou CS, Liu YH, Zabriskie V, et al. Alternate methods for laparoscopic management of adnexal masses greater than 10 cm in diameter[J]. J Laparoendoscopic Advanc Surg Techniq, 200l, 11(3):125-132.
|
| 13. |
Chang CK, Teng SW, Leu FJ. Laparoscopy versus laparotomy for cystic ovarian teratomas[J]. Intern J Gynecol Obstet, 2005, 88(1):69-70.
|
- 1. 谢幸, 苟文丽. 妇产科学[M]. 8版. 北京:人民卫生出版社, 2013:328-329.
- 2. 姚书忠, 姜红叶. 卵巢良性畸胎瘤的腹腔镜手术[J]. 腹腔镜外科杂志, 2011, 16(5):321-323.
- 3. 柯妍, 余艳红, 张广亮, 等. 腹腔镜卵巢畸胎瘤切除术中瘤体破裂的影响因素及预后[J]. 中国妇幼保健, 2008, 23(9):1197-1199.
- 4. 罗锦花, 齐荣义, 栾梅, 等. 卵巢成熟囊性畸胎瘤扭转破裂腹腔内种植囊肿1例[J]. 实用妇产科杂志, 2012, 28(9):766.
- 5. 万学红, 卢雪峰. 诊断学[M]. 8版. 北京:人民卫生出版社, 2013:8-9.
- 6. 郎景和, 冷金花. 妇科腹腔镜的现状及展望[J]. 实用妇产科杂志, 2002, 18(2):67-70.
- 7. 张凯, 崔竹梅, 张佳. 卵巢成熟性畸胎瘤腹腔镜手术680例临床分析[J]. 中国内镜杂志, 2010, 16(9):930-933.
- 8. 李洁华, 许丹, 卞书春. 腹腔镜与开腹手术剥除卵巢良性畸胎瘤对机体免疫功能影响的比较研究[J]. 实用妇产科杂志, 2010, 26(5):358-360.
- 9. 王建国. 腹腔镜手术剥除卵巢成熟畸胎瘤30例分析[J]. 苏州大学学报·医学版, 2004, 24(6):944.
- 10. Hursitoglu BS, Demirtas GS, Demirtas O, et al. A clinico-pathological evaluation of 194 patients with ovarian teratoma:7-year experience in a single center[J]. Ginekologia polska, 2013, 84(2):108-111.
- 11. Murawski M, Gotebiewski A, Sroka MA. Laparoscopic management of giant ovarian cysts in adolescents[J]. Wideochir Inne Tech Malo Inwazyjne, 2012, 7(2):111-113.
- 12. Ou CS, Liu YH, Zabriskie V, et al. Alternate methods for laparoscopic management of adnexal masses greater than 10 cm in diameter[J]. J Laparoendoscopic Advanc Surg Techniq, 200l, 11(3):125-132.
- 13. Chang CK, Teng SW, Leu FJ. Laparoscopy versus laparotomy for cystic ovarian teratomas[J]. Intern J Gynecol Obstet, 2005, 88(1):69-70.
1/5
WeChat
