腹腔镜诊治直径<5cm卵巢囊肿的临床意义  

Clinical significance of laparoscopy in management of ovarian cysts,smaller than 5 cm in diameter

作　　者：郭英花[1,2] 王扬[2] 

机构地区：[1]北京协和医学院研究生院,北京100730 [2]中日友好医院妇产科,北京100029

出　　处：《中国内镜杂志》2008年第11期1210-1213,共4页China Journal of Endoscopy

摘　　要：目的探讨腹腔镜诊治直径<5cm的术前诊断为良性卵巢囊肿的临床意义。方法腹腔镜诊治术前诊断为良性单侧卵巢囊肿119例(同时行肌瘤剔除等手术的患者除外),其中直径<5cm卵巢囊肿32例,≥5cm87例。直径<5cm卵巢囊肿的患者术前均为有症状或观察3次B超提示囊肿未消失,每次B超间隔2个月以上或CA125升高。比较两组的病理类型、术中情况、术后并发症及排气时间。结果直径<5cm卵巢囊肿中84.4%(27/32)需手术治疗,以畸胎瘤和巧克力囊肿居多,该组术中肿物破裂率、手术时间、电凝止血率均明显低于≥5cm组(均P<0.05),出血≤20mL的患者所占比率明显高于≥5cm组(P<0.05)。两组的赘生性肿瘤率、术中粘连、排气时间及并发症无统计学差异(均P>0.05)。结论对于直径<5cm卵巢囊肿的患者,若有症状或观察3次B超提示囊肿未消失,每次B超间隔2个月以上或CA125升高者,行腹腔镜诊治是必要的、安全的,并可减少术中肿物破裂率、缩短手术时间、减少出血、保护卵巢功能,但要避免不必要的手术。【Objective】 To evaluate the clinical significance of laparoscopy in management of ovarian cysts, smaller than 5 cm in diameter. 【Methods】119 patients with unilateral ovarian cysts underwent laparoscopy. 32 of the 119 patients had ovarian cysts smaller than 5cm in diameter and were classified into Groupe A, who with symp- tom or stable ovarian cysts over 4 months period or high lever of CA125. The other 87 patients with cysts larger than 5 cm in diameter were classified into Group B. The clinical dates were ...

关 键 词：卵巢囊肿 肿瘤大小 腹腔镜 

分 类 号：R713[医药卫生—妇产科学]