腹腔镜在小儿输卵管系膜囊肿诊治中的价值探讨  

Value of laparoscopy in the diagnosis and treatment of mesosalpinx cyst

作　　者：陈建雷 朱杰[2] 顾志成[2] 朱振伟[2] 蔡鹏[2] Chen Jianlei;Zhu Jie;Gu Zhicheng;Zhu Zhenwei;Cai Peng(Department of General Surgery,Wujiang District Children's Hospital in Suzhou City,Suzhou 215000,China;Department of General Surgery,Soochow University Affiliated Children's Hospital,Suzhou 215000,China)

机构地区：[1]苏州市吴江区儿童医院普外科,苏州215000 [2]苏州大学附属儿童医院普外科,苏州215000

出　　处：《临床小儿外科杂志》2024年第11期1068-1071,共4页Journal of Clinical Pediatric Surgery

基　　金：国家自然科学基金青年基金(82100534);江苏省苏州市姑苏卫生人才项目(GSWS2022060)。

摘　　要：目的探讨腹腔镜在小儿输卵管系膜囊肿中的诊断及治疗价值。方法回顾性分析2019年10月至2021年10月于苏州大学附属儿童医院普外科接受腹腔镜治疗的25例输卵管系膜囊肿患儿临床资料,于2022年4月通过电话结合门诊及住院电子化信息系统进行随访,随访时间为8(6,12)个月。收集25例患儿年龄、腹痛时间、囊肿大小、囊肿完整切除率、手术时间、术后住院时间、伤口愈合情况、术后病理检查结果、术后有无并发症及复发情况。结果纳入研究的25例患儿中,年龄12(11,15)岁,腹痛时间3(1,7)d,囊肿直径5(3,8)cm,术中均完整切除囊肿,手术时间55(40,85)min,术后住院时间5(4,6)d;25例均伤口愈合良好,无一例出现并发症;术后病理检查提示单纯性输卵管系膜囊肿;术后均按时随访,复查腹部超声未见复发。结论腹腔镜探查有助于早期明确小儿输卵管系膜囊肿,同时治疗安全有效,可减少对输卵管系膜囊肿患儿生殖功能的影响。ObjectiveTo evaluate the clinical value of laparoscopy for mesosalpinx cyst in children.MethodsFrom October 2019 to October 2021,the relevant clinical data were retrospectively reviewed for 25 children undergoing laparoscopic treatment of mesosalpinx cyst.Follow-ups were conducted by telephone calls and outpatient/inpatient electronic information systems in April 2022.The follow-up period was 8(6,12)month.Age,duration of abdominal pain,size of cyst,rate of complete cyst resection,operative duration,postoperative hospitalization length,postoperative incision healing status,pathological examinations,postoperative complications and recurrence were recorded.ResultsAvergae age was 12(11,25)year,duration of abdominal pain 3(1,7)day and diameter of cyst 5(3,8)cm.All cysts were completely removed with an operative duration of 55(40,85)min and a postoperative hospitalization length of 5(4-6)day.Wound had minimal scars with decent umbilical appearance.Postoperative pathology examinations confirmed the diagnosis of simple mesosalpinx cyst.Neither complication nor recurrence was noted during a follow-up period of(6-12)month.ConclusionsLaparoscopy allows for making an early definite diagnosis,defining accurately the exact site of cyst and offering effective and safe treatments.Wider popularization is worthwhile.

关 键 词：输卵管系膜囊肿 腹腔镜 外科手术 儿童 

分 类 号：R71[医药卫生—妇产科学]