腹腔镜治疗妊娠合并卵巢良性肿瘤临床分析  

Laparoscopy in treatment of benign ovarian tumor in pregnant women

作　　者：张天峰[1] 许学岚[1] 廖莳[1] 秦成璐[1] 罗光楠[1] 

机构地区：[1]广东省深圳市罗湖区人民医院妇产科,广东深圳518001

出　　处：《中国内镜杂志》2013年第8期841-844,共4页China Journal of Endoscopy

摘　　要：目的探讨腹腔镜手术治疗妊娠合并卵巢良性肿瘤的可行性、安全性及治疗效果。方法回顾分析2008年1月~2010年12月深圳市罗湖区人民医院妇产科收治的18例妊娠合并卵巢良性肿瘤患者行腹腔镜手术的临床资料。患者平均年龄27.3岁,妊娠12~18周,其中12例孕周小于12周,6例孕周12~18周。肿瘤直径平均7.52 cm;观察手术时间、术中出血量、住院时间;胎儿及新生儿情况及术中、术后并发症发生情况。结果 18例均顺利完成腹腔镜手术,无中转开腹及并发症发生。12例行腹腔镜卵巢肿瘤剥除术,5例行腹腔镜患侧附件切除术,1例行腹腔镜患侧卵巢黄体囊肿蒂扭转复位术。平均手术时间（29±4）min;平均术中出血量（29±7）mL,平均术后住院时间（6±2）d。患者术前、术中、术后血气分析、血压及心率监测结果分别比较,差异均无显著性（均P〉0.05）。术前、术中、术后监测胎心率均在正常范围内。18例患者均已妊娠至足月分娩,新生儿出生体重和Apgar评分未发现异常。结论腹腔镜手术诊治妊娠合并卵巢肿瘤对母婴是可行的、安全的。【Objective】To investigate the feasibility,safety and effect of laparoscopic surgery used in the treatment of benign ovarian tumor in 18 pregnant women.【Methods】From Jan 2008 to Dec 2010,the data of 18 cases at gestational 12~18 weeks complicated by ovary benign tumors undergoing laparoscopic surgery were studied retrospectively.Operation time,bleeding loss,period of hospitalization,the status of futes and newborn babies,and perioperative or postoperative complications were observed.【Results】All 18 cases were treated by laparoscopic surgery.No preoperative and postoperative complications were observed.The mean time of surgery was（29±4） minutes,the mean bleeding in the surgery was（29±7） mL,the mean period of hospitalization was（6±2） days.The blood gas,blood pressure and heart rate in all cases at pre,peri and postoperative time did not show statistical differences（P 0.05）.The fetal hearts were all in the normal range preoperative,intraoperative and postoperative time.All the cases underwent term delivery.Fetal weight and Apgar score did not show abnormality.【Conclusion】Laparoscopic surgery at the second trimester is feasible and safe to mother and fetus.

关 键 词：妊娠 卵巢肿瘤 腹腔镜检查 

分 类 号：R714[医药卫生—妇产科学] R713.6[医药卫生—临床医学]