Research on Related Factors for Postoperative Fever in Patients with Ovarian Mature Teratoma_West China Medical Journal

Authors：

 NIEXiao-cheng

Department of Gynaecology, Sichuan Provincial Hospital for Women and Children, Chengdu, Sichuan 610045, P. R. China;

Corresponding?author：

NIEXiao-cheng, Email: niexiaocheng@hotmail.com

Keywords：

Ovary; Mature teratoma; Fever; Related factors; Research

DOI：

10.7507/1002-0179.20140449

Video：

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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

1.	謝幸, 茍文麗. 婦產科學[M]. 8版. 北京:人民衛生出版社, 2013:328-329.
2.	姚書忠, 姜紅葉. 卵巢良性畸胎瘤的腹腔鏡手術[J]. 腹腔鏡外科雜志, 2011, 16(5):321-323.
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5.	萬學紅, 盧雪峰. 診斷學[M]. 8版. 北京:人民衛生出版社, 2013:8-9.
6.	郎景和, 冷金花. 婦科腹腔鏡的現狀及展望[J]. 實用婦產科雜志, 2002, 18(2):67-70.
7.	張凱, 崔竹梅, 張佳. 卵巢成熟性畸胎瘤腹腔鏡手術680例臨床分析[J]. 中國內鏡雜志, 2010, 16(9):930-933.
8.	李潔華, 許丹, 卞書春. 腹腔鏡與開腹手術剝除卵巢良性畸胎瘤對機體免疫功能影響的比較研究[J]. 實用婦產科雜志, 2010, 26(5):358-360.
9.	王建國. 腹腔鏡手術剝除卵巢成熟畸胎瘤30例分析[J]. 蘇州大學學報·醫學版, 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. 謝幸, 茍文麗. 婦產科學[M]. 8版. 北京:人民衛生出版社, 2013:328-329.
2. 姚書忠, 姜紅葉. 卵巢良性畸胎瘤的腹腔鏡手術[J]. 腹腔鏡外科雜志, 2011, 16(5):321-323.
3. 柯妍, 余艷紅, 張廣亮, 等. 腹腔鏡卵巢畸胎瘤切除術中瘤體破裂的影響因素及預后[J]. 中國婦幼保健, 2008, 23(9):1197-1199.
4. 羅錦花, 齊榮義, 欒梅, 等. 卵巢成熟囊性畸胎瘤扭轉破裂腹腔內種植囊腫1例[J]. 實用婦產科雜志, 2012, 28(9):766.
5. 萬學紅, 盧雪峰. 診斷學[M]. 8版. 北京:人民衛生出版社, 2013:8-9.
6. 郎景和, 冷金花. 婦科腹腔鏡的現狀及展望[J]. 實用婦產科雜志, 2002, 18(2):67-70.
7. 張凱, 崔竹梅, 張佳. 卵巢成熟性畸胎瘤腹腔鏡手術680例臨床分析[J]. 中國內鏡雜志, 2010, 16(9):930-933.
8. 李潔華, 許丹, 卞書春. 腹腔鏡與開腹手術剝除卵巢良性畸胎瘤對機體免疫功能影響的比較研究[J]. 實用婦產科雜志, 2010, 26(5):358-360.
9. 王建國. 腹腔鏡手術剝除卵巢成熟畸胎瘤30例分析[J]. 蘇州大學學報·醫學版, 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.

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Research on Related Factors for Postoperative Fever in Patients with Ovarian Mature Teratoma

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