腹腔镜手术治疗卵巢包块235例临床分析

Clinical analysis of laparoscope for 235 cases with benign tumor

目的探讨腹腔镜手术在良性卵巢肿瘤治疗中的手术指征。方法回顾性分析2003年1月～2006年9月我院经腹腔镜手术治疗卵巢包块235例手术情况。患者均采用全麻,术式采用卵巢肿瘤剔除术、附件切除或盆腔粘连松解。结果235例均经腹腔镜手术完成,225例行卵巢囊肿剔出术,5例行附件切除术,5例行盆腔粘连松解术。术后诊断与术前诊断的符合率为87.23%。术后病理卵巢子宫内膜异位囊肿95例,占40.43%,单纯性囊肿10例,占4.26%,卵巢冠囊肿6例,占2.56%,黄体囊肿9例,占3.82%,良性肿瘤110例,占46.80%,浆液性囊腺瘤16例,黏液性囊腺瘤15例,囊性畸胎瘤65例,卵泡膜细胞瘤4例,纤维瘤2例。手术成功率100%。结论腹腔镜可作为术前诊断为良性的附件包块的首选手术方式,但适应证应掌握得当。

Objective To study the surgery indegx of laparoscopy for benign ovarian mass. Methods A retro specrive clinical study.Two hundred and thirty five patients underwent the procedure by laparoscopy for benign ovarian mass between January 2003 and September 2006,these patients were treated with rejection of ovarian cyst, ecphyadectomy or lysis of pelvic adhesions.Results Of all the patients,two hundred and twenty-five patients were treated with rejection of ovarian cyst, five with ecphyadectomy and another five with lysis of pelvic adhesions.The coincidence of the diagnostics of before and after the operation was 87.32% .In all the pathological reports after operation,ninety-five were adenoma endometrioides ovarii （40.43%）,ten were simple cyst （4.26%）,six were parovarian （2.56%）,nine were lutein cyst （3.82%）,one hundred and ten were benign tumor （46.80%）. Achievement ratio of the operation was 100%.Conclusion Laparoscopy is the first selection for benign ovarian mass,but the indication must be given more attention.