腹腔镜在直径>12cm卵巢囊肿手术中的应用价值  

Laparoscopic Surgery for Ovarian Cysts Larger than 12 cm in Diameter

作　　者：张巧玉[1] 张宏珍[1] 温娜[1] 成争先[1] 刘迎春[1] 

机构地区：[1]解放军第309医院妇产科,北京100091

出　　处：《中国微创外科杂志》2012年第2期118-120,共3页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨腹腔镜手术治疗直径>12 cm卵巢囊肿的价值。方法回顾性分析2004年6月～2010年12月直径>12 cm的卵巢囊肿的临床资料。腹腔镜组37例,开腹组30例。2组囊肿直径、术式差异无显著性(P>0.05)。比较2组手术时间、术中出血量、囊液量及术后住院时间。结果与开腹组相比,腹腔镜组术中出血量少([89.6±10.2)ml vs.(200.5±50.0)ml,t=-13.179,P=0.000],术后住院时间短([3.9±1.8)d vs.(8.9±1.2)d,t=-13.037,P=0.000],囊液外溢少[11%(4/37)vs.33%(10/30),χ2=5.084,P=0.024]。2组手术时间、囊液量差异无显著性(P>0.05)。2组均无并发症发生。结论在严格选择病例的前提下,对直径>12 cm的卵巢囊肿进行腹腔镜手术出血少,术后恢复快,有较大的应用价值。Objective To investigate the efficacy of laparoscopic surgery in the treatment of large ovarian cysts （diameter 〉 12 era）. Methods A retrospective analysis on 67 patients with large ovarian cysts （ diameter 〉 12 cm） , who underwent cystectomy or enucleation by laparoscopy （37 cases） or laparotomy （30 cases） in our hospital. No significant difference existed between laparoscopy and laparotomy groups in the diameter of the tumor and surgical procedures （ both P 〉 0.05 ）. The operation time, intraoperative blood loss, volume of cystic fluid, and postoperative hospital stay were compared between the two groups. Results Laparoscopy group showed significantly less intraoperative blood loss, shorter hospital stay, less overflow of cystic fluid than laparotomygroup [（89.6±10.2） mlvs. （200.5±50.0） ml, t = - 13. 179, P=0.000; （3.9 ± 1.8） days vs. （8.9 ±1.2） days, t = -13.037, P=0.000; 11% （4/37） vs. 33% （10/30）,X^2 =5.084, P=0.024]. No significant difference was detected in the operation time and volume of cystic fluid between the two groups （P 〉 0. 05 ）. Neither of the groups reported complications. Conclusion With strict indications, laparoscopy is effective for ovarian cysts larger than 12 cm in diameter, and is superior in controlling intraoperative hemorrhage, and postoperative recovery.

关 键 词：腹腔镜 卵巢囊肿 

分 类 号：R713[医药卫生—妇产科学]