腹腔镜手术治疗卵巢良性肿瘤186例临床分析  

Analysis on effect of laparoscopy on benign ovarian tumors in 186 cases

作　　者：雍思勇 王建三[1] 潘伟[1] 

机构地区：[1]贵州省贵阳市妇幼保健院,550003

出　　处：《中国妇幼保健》2009年第23期3229-3230,共2页Maternal and Child Health Care of China

摘　　要：目的：探讨腹腔镜手术治疗卵巢良性肿瘤的手术技巧及临床应用价值。方法：回顾分析2007年1月～2008年6月闯术前诊断为卵巢良性肿瘤186例的腹腔镜手术治疗情况。结果：186例均在腹腔镜下顺利完成，瘤体最大18cm，最小4cm．手术时间最长120min，最短30min，住院3～5天。随访病例最长2年无复发，14例合并不孕症者术后1年内妊娠6例。无1例发生脏器损伤、术中大出血、皮下气肿及术后化学性腹膜炎等并发症。结论：严格掌握手术适应证，术前术中准确判断，腹腔镜手术治疗卵巢良性肿瘤具有微创、恢复快、疼痛轻及美观等优点，是治疗卵巢良性肿瘤的最佳方法。Objective： To explore the surgical techniques and clinical value of laparoscopy in the treatment of benign ovarian tumors. Methods： 186 cases of benign ovarian tumors treated by laparoscopy from January 2007 to June 2008 were analyzed retrospectively. Results： Laparoscopy was performed successfully on all the 186 cases. The diameter of tumors was 4 - 18 cm. The time of operation was 30 - 120 minutes. The hospitalization stay was 3 -5 days. 6 cases out of 14 infertile women were pregnant one year after operation. No complications occurred during and after operation, such as organ injury, bleeding, subcutaneous emphysema and chemical peritonitis. Conclusion： Strict clinical indication selection and accurate diagnosis before and during operation are vital to successful laparoscopy, laparoscopy has many advantages such as minimal invasion, rapid recovery, less pain and smaller scar, which is one of the best choice in treating benign ovarian tumors.

关 键 词：腹腔镜 卵巢肿瘤 卵巢手术 

分 类 号：R737.31[医药卫生—肿瘤]