腹腔镜手术诊治盆腔假性囊肿38例临床分析  

Clinical analysis of 38 cases of pelvic pseudocyst diagnosed and treated by laparoscopy.

作　　者：王静文[1] 

机构地区：[1]广东省东莞市人民医院妇产科,523000

出　　处：《中国实用妇科与产科杂志》2004年第7期412-413,共2页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：目的　探讨盆腔假性囊肿的发病机制、术前诊断、预防对策和腹腔镜对其诊治的优势。方法　回顾性分析 2 0 0 0年 4月至 2 0 0 3年 7月间广东省东莞市人民医院经腹腔镜手术及病理证实的 38例盆腔假性囊肿的患者治疗方法并对治疗效果进行随访。结果　盆腔假性囊肿术前诊断率低 ,只有 15 8%。 38例术后经 1～ 3年随访 ,仅 1例复发 ,治愈率达 97 3%。结论　盆腔包块行腹腔镜探查术是一种确切的确诊方法 ,盆腔假性囊肿多继发于术后或感染后 ,术中正确处理是预防其发生的主要对策 。Objective To investigate the occurrence mechanism,preoperative diagnosis and prevention countermeasure for the pelvic pseudocyst,and the diagnosis and treating superiority for the pseudocyst by laparoscope.Methods Retrospective analysis was made on the clinical situation and therapy methods of 38 patients who had already been confirmed by laparoscope operation and pathology;also,follow up its therapy results.Results The preoperative diagnosis rate for the pseudocyst of pelvis was low,only 15 8%.After 1～3 years of follow up,there was only one recurrent case,the cure rate being 97 3%.Conclusion The laparoscope operation is an accurate final diagnostic method for the pseudocyst of pelvis.The pseudocyst of pelvis always occur after operation or infection.Treating correctly in operation is the main countermeasure to prevent the pseudocyst.Laparoscope operation has definite superiority on the diagnosis and treatment for the pelvic pseudocyst.

关 键 词：腹腔镜 手术治疗 盆腔假性囊肿 发病机制 术前诊断 预防对策 

分 类 号：R737.3[医药卫生—肿瘤]