开腹及腹腔镜下卵巢子宫内膜异位囊肿剥出术的比较  

Comparison of ovarian endometriosis by laparotomy cystectomy and laparoscopic cystectomy

作　　者：凌奋[1] 张萍[1] 

机构地区：[1]海第二医科大学新华医院妇科,200090

出　　处：《上海医学》2001年第12期733-735,共3页Shanghai Medical Journal

摘　　要：目的　通过对腹腔镜下和开腹卵巢子宫内膜异位囊肿剥出术的比较 ,探讨腹腔镜下卵巢子宫内膜异位囊肿剥出术的有效方法。方法　回顾性分析了 1996年 1月～ 2 0 0 1年 8月在新华医院妇科施行的 16 6例腹腔镜下卵巢子宫内膜异位囊肿剥出术 ,和同期施行的 132例开腹卵巢子宫内膜异位囊肿剥出术的手术情况 ,比较两种方法的优缺点。结果　 16 6例腹腔镜手术患者 ,平均手术时间 6 3min ,平均出血量 6 0ml,术后平均住院日 2 .5d ,无 1例中转开腹 ,术后无 1例发热超过 38℃ ,随访 3个月 ,无术时、术后并发症。 132例开腹卵巢子宫内膜异位囊肿剥出术患者 ,平均手术时间 71min ,平均出血量 7ml,术后平均住院日 7d。结论　对于Ⅲ、Ⅳ期的卵巢子宫内膜异位囊肿行腹腔镜下剥出术是安全可行的 ,与开腹手术相比 ,有创伤小、恢复快、术后住院时间短的优势 ,可作为首选术式。Objective To compare the operation on the ovarian endometriosis by laparoscopic cystectomy and laparotomy cystectomy to assess the feasibility of laparoscopic cystectomy for ovarian endometriomas. Methods Analyze the operatve results of 166 patients with ovarian endometriomas by laparoscopic cystectomy and 132 patients with laparotomy cystectomy. Results 166 pateints underwent laparoscopy were successful. The average blood loss was 60ml, the average duration of operation was 63 min, the average post operative hospital stay was 2.5 days, no postoperative fever over 38℃ occurred. In 132 pateints with laparotomy, the average blood loss was 70 ml, the average duration of operation 72 min, the average post operative hospital stay was 7 days. Conclusion For moderately severe ovarian endometriosis patients, laparoscopic cystectomy is safe and feasible, which has the advantages of being least invasive, quick recovery, shorter hospitalization and low recurrence.

关 键 词：子宫内膜异位症 卵巢囊肿 腹腔镜 剖腹术 囊肿剥出术 

分 类 号：R713.4[医药卫生—妇产科学]