腹腔镜下良性卵巢囊肿手术112例临床探讨  

Laparoscopic surgery for benign ovarian cysts:A clinical study of 112 cases

作　　者：程忠平[1] 胡丽萍[1] 陈晓残[1] 帅桂珍[1] 季芳[1] 丁佩芳[1] 瞿晓燕[1] 康乐[1] 

机构地区：[1]上海市杨浦区中心医院妇产科,上海200090

出　　处：《中国微创外科杂志》2004年第2期112-114,共3页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的　探讨腹腔镜卵巢囊肿手术的适应证、手术技巧。　方法　腹腔镜下行卵巢囊肿剥除术、卵巢囊肿切除术和附件切除术共 112例。　结果　卵巢囊肿剥除术 10 4例 (92 9% ) ,附件切除术 5例 (4 5 % ) ,卵巢 /卵巢囊肿切除术 3例(2 7% )。手术时间 (6 1 9± 2 3 7)min ,术中出血 (37 0± 4 0 7)ml。术后住院 (6 8± 2 4 )d ,术后最高体温 (37 8± 0 5 )℃ ,术后体温持续 37 5℃以上 (2 0± 1 1)d ,肛门排气时间 (1 9± 0 5 )天。术后病理诊断 :卵巢巧克力囊肿 5 4例 (48 2 % )、良性畸胎瘤30例 (2 6 8% )、卵巢冠囊肿 16例 (14 3% )、黄素囊肿 8例 (7 1% )、浆液性囊肿 3例 (2 7% )、纤维瘤 1例 (0 9% )。结论　腹腔镜手术治疗良性卵巢囊肿具有微创手术的优点。术前、术中必须严格掌握适应证及准确判断 ,尽量避免恶性卵巢肿瘤的可能性。Objective To investigate the surgical indications and techniques of laparoscopic operations for benign ovarian cysts. Methods A total of 112 patients underwent laparoscopic operations of cyst decollement, ovariotomy and adnexectomy. Results There were 104 cases (92 9%) of decollement, 5 cases (4 5%) of adnexectomy and 3 cases (2 7%) of ovariotomy.The operation time was (61 9±23 7) min, the intraoperative blood loss (37 0±40 7) ml, the postoperative hospital stay (6 8±2 4) days, the postoperative peak temperature of patients (37 8±0 5)℃, the duration of postoperative temperature beyond 37 5℃ (2 0±1 1) days and the time to first passing flatus (1 9±0 5) days. Pathological diagnoses showed 54 cases (48 2%) of ovary endometrial cyst, 30 (26 8%) of benign teratoma, 16 (14 3%) of mesonephroma, 8 (7 1%) of corpus luteum cyst, 3 (2 7%) of serous tumor and 1 (0 9%) fibroma. Conclusions Laparoscopic operations for benign ovarian cysts have advantages of minimally invasive surgery. However, indications must be strictly followed before operations, in the view of avoiding meeting malignant tumors in operations.

关 键 词：腹腔镜 卵巢巧克力囊肿 卵巢畸胎瘤 手术治疗 

分 类 号：R713.6[医药卫生—妇产科学]