单孔腹腔镜手术探查并诊治子宫切除术后盆腔包块53例临床分析  

The clinical analysis of single-port laparoscopic exploration,diagnosis and treatment of pelvic masses after hysterectomy:a report of 53 cases

作　　者：张魁[1] 梁海霞[1] 周建兴[1] 任睿[1] 程洁[1] 王双[1] 李玉虹[1] 袁鹏[1] 

机构地区：[1]解放军第451医院,陕西西安710054

出　　处：《腹腔镜外科杂志》2012年第7期538-540,共3页Journal of Laparoscopic Surgery

摘　　要：目的:总结单孔腹腔镜手术诊治子宫切除术后盆腔包块的应用价值及手术方法。方法:回顾分析5年间采用单孔腹腔镜手术诊治53例子宫切除术后盆腔包块患者的临床资料。结果:53例中10例患者行术中冰冻;38例患者获得标本,行常规病理检查。结合探查及病理47例诊断为卵巢瘤样病变,5例为卵巢良性肿瘤(1例畸胎瘤,2例浆液性囊腺瘤,2例粘液性囊腺瘤),1例为恶性肿瘤。41例直接行单孔腹腔镜手术,11例因腹腔粘连严重中转三孔法腹腔镜手术,1例恶性肿瘤患者中转开腹。结论:单孔腹腔镜探查术对子宫切除术后盆腔包块的诊治具有较高的临床应用价值。Objective：To summarize the clinical significance and operative method of single-port laparoscopy for the diagnosis and treatment of pelvic masses after hysterectomy.Methods：The clinical data of 53 patients with pelvic masses after hysterectomy who underwent single-port laparoscopy from Jan.2007 to Jan.2012 were retrospectively analyzed.Results：Among all the patients,10 cases underwent frozen section examination,38 cases who got specimen in operation underwent regular pathological examination.The final diagnosis was made by the combination of intraoperative diagnosis and pathology：47 cases of ovarian tumor-like lesion,5 cases of benign ovarian tumor（1 teratoma,2 serous cystadenoma and 2 mucinous cystadenoma） and 1 case of ovarian cancer.Among them,41 cases underwent single-port laparoscopic surgery successfully,11 cases were converted to standard 3-port laparoscopic surgery,and 1 case of ovarian cancer was converted to laparotomy.Conclusions：Single-port laparoscopy is effective and preferable for the diagnosis and treatment of pelvic masses after hysterectomy.

关 键 词：盆腔包块 腹腔镜检查 单孔 子宫切除术 

分 类 号：R713[医药卫生—妇产科学]