腹腔镜手术治疗卵巢囊肿蒂扭转43例临床分析.docVIP

腹腔镜手术治疗卵巢囊肿蒂扭转43例临床分析 【摘要】　目的:探讨腹腔镜手术治疗卵巢囊肿蒂扭转的临床价值。方法:回顾性分析我院2001年2月至2008年 10月间接受腹腔镜诊治的43例卵巢囊肿蒂扭转患者的临床资料。结果:43例患者平均年龄26.6岁,有腹痛病史 41例,其中急性腹痛27例,伴恶心、呕吐21例。34例行腹腔镜下患侧附件切除术,9例行腹腔镜下患侧卵巢囊肿 剥出术。所有病例均在腹腔镜下顺利完成手术治疗,平均手术时间65.0±16.5分钟,术中出血2 ~150 ml,中位出 血量10 ml,无术时术后并发症发生。术后病理诊断卵巢成熟性畸胎瘤34例(79.1%),卵巢单纯囊肿3例(7.0%), 卵巢粘液性囊腺瘤2例(4.7%),卵巢甲状腺肿1例(2.3%),卵巢巧克力囊肿1例(2.3%),副中肾管源性囊肿(卵 巢冠囊肿)1例(2.3%),组织出血梗死不能辨认1例(2.3%)。术后平均肛门排气时间27.3±11.4小时,术后平均 放置尿管时间11.2±9.5小时,术后平均住院时间4.2±1.3天。结论:腹腔??诊治卵巢囊肿蒂扭转具有及时准 确、创伤小、出血少、术后恢复快等优点. 【关键词】　腹腔镜手术;卵巢囊肿;蒂扭转 【Abstract】　Objective:To evaluate the clinical efficiency of laparoscopic surgery in the treatment of pedicle torsion of ovarian cyst.Methods:A retrospectively analysis was carried out in 43 cases with pedicle torsion of ovarian cyst and treated by laparoscopic surgery from January 2001 to October 2008 in our hospital.Results:The mean age of the 43 patients was 26.6 years. Forty-one patients suffered with abdominal pain,of which,27 cases had acute abdominal pain,and 21 cases were accompanied with nausea and vomiting. Laparoscopic unilateral adnexectomy were performed in 34 cases,and laparoscopic ovarian cystectomy was in 9 cases. All operations were done by laparoscope without complication. The mean operation time was 65.0±16.5 min,the volume of bleeding during operation was 2~150 ml and the mid-term volume of bleeding was 10 ml. No complication was happened during or after operation. In the post- operatiye pathologic examination,34(79.1%) cases were diagnosed as matured teratomas,and 3(7.0%) was simple cysts,2(4.7%) was mucinous cystadenoma,1(2.3%) was struma ovarii, 1(2.3%) was chocolate cyst and 1(2.3%)was mullerian cyst. One (2.3%) case was not identified because of hemorrhage and infarction. The mean re- sume time of digestive system and bladder was 27.3±11.4 hours and 11.2±9.5 hours respectively. The mean time of hospitalization after operation was 4.2±1.3 days.Conclusions:Laparoscopic surgery should be used to diagnose and treat pedicle t