卵巢良性肿瘤腹腔镜手术中破裂相关因素分析  

Analysis of the related factors of ovario - cystic rupture during laparoscopic surgery of benign ovary tumor

作　　者：赵会荣[1] 

机构地区：[1]首都医科大学附属北京朝阳医院京西院区妇产科,北京100043

出　　处：《中国综合临床》2008年第7期717-719,共3页Clinical Medicine of China

摘　　要：目的分析腹腔镜下卵巢良性肿瘤手术时破裂的相关因素，探讨对患者预后的影响。方法回顾性分析接受腹腔镜下卵巢良性肿瘤手术110例患者的临床资料。结果术中发生囊肿破裂42例（破裂组），未破裂68例（未破裂组）。两组比较，患者年龄、孕产次、肿瘤大小、术中出血量、术后月经改变及腹痛发生率均无统计学意义（均P〉0．05）。破裂组手术时间（108．72±3．10）min，未破裂组（99．02±4.02）min，两组比较差异有统计学意义（P〈0．05）；破裂组和未破裂组左侧肿瘤和盆腔粘连发生率分别为76．2％和38．1％，明显高于未破裂组的41．2％和13、2％（P〈0．05）。结论术者熟练的腹腔镜技术，术中使用取物袋，可减少囊肿破裂发生，如发生破裂，及时、大量生理盐水冲洗盆、腹腔可以减少术后并发症发生，不影响妊娠。Objective To analyze the related factors of ovario - cystic rupture during laparoscopic surgery of benign ovary tumor and to investigate the prognosis. Methods 110 patients who received laparoscopic surgery for ovary tumor were retrospectively analyzed. Results A total of 68 benign ovarian cyst was successfully removed without intra-operative rupture ,while 42 were intra-operative ruptured. Mean surgical time was significantly longer in rupture group. The incidence of ovarian cystic rupture was related to the removal of left-side tumor and cyst and pelvic adhesions,whereas no correlation was observed with patients＇ages,size of cyst, gravidity, and parity, volume of bleeding,post surgical menstruation alteration, abdominal pain, and cyst rupture. Conclusion Skill, experience in laparoscopic practices and the usage of laparoscopic bag help to avoid cystic rupture. When rupture occurs, timely cleanness with saline can decrease post-surgery complications and does not affect subsequent pregnancy.

关 键 词：卵巢肿瘤 腹腔镜 并发症 

分 类 号：R737.31[医药卫生—肿瘤]