腹腔镜辅助式小切口在超大卵巢囊肿剥除术中的应用  

Application of laparoscopically assisted incision in large ovarian cyst enuclearion

作　　者：陈光元 章汉旺[2] 

机构地区：[1]深圳市松岗人民医院妇产科,广东深圳518105 [2]华中科技大学同济医学院附属同济医院妇产科,湖北武汉430030

出　　处：《中国内镜杂志》2005年第5期497-498,共2页China Journal of Endoscopy

摘　　要：目的探讨应用腹腔镜辅助式小切口剥除超大卵巢囊肿的可行性和应用价值。方法选择该院妇科2001年1月￣2004年1月收治的超大卵巢囊肿病人64例,随机分为改良组(腹腔镜辅助组)34例和对照组(腹腔镜组)30例,对比分析两种手术方式的手术时间、出血量、CO2用量以及术后病率的情况。结果两组病例均手术成功,无中转开腹,经统计分析:改良组的手术时间为(30±8.5)min,明显少于对照组(45±12.7)min,改良组CO2用量(60±10.1)L也明显少于对照组(102±18.7)L,差异有显著性。出血量、肛门排气时间和术后病率无差异。结论腹腔镜辅助的经腹壁小切口行大卵巢囊肿剥除是安全有效的,不仅同样具有微创的优点,而且简便易行,缩短了手术时间,节约了病人费用。Objective] To study the feasibility and clinical value of laparoscopically assisted incision in large ovarian cyst enuclearion. [Methods] 64 patients with large ovarian cyst treated in our department from 2001~2004 years were randomly divided into two groups: test group (laparoscopically assisted group) 34 cases and control group (laparoscipic group) 30 cases, two opearation methods were analysed in operation time, blood loss, CO2 consume and complication rate. [Results] All operation were successful, operation time of test group was (30±8.5) min, which was lower than that of control group (45±12.7) min, CO2 consume of test group was (60±10.l) L, which was significantly lower than that of control group, too. Blood loss, exhaust gas time and complicantion rate in two group were no difference. [Conclusions] Laparoscopically assisted large ovarian cyst enuclearion is effective and safe, it has not only minimally invasive virtue, but also easily operate, reduce operation time and save patients′ cost.

关 键 词：腹腔镜辅助小切口 大卵巢囊肿 剥除术 

分 类 号：R713.6[医药卫生—妇产科学]