腹腔镜下卵巢囊肿体外剥除或切除术

Laparoscopic Extracorporeal Oophorectomy or cystectomy was performed

目的探讨腹腔镜下卵巢囊肿体外剥除术或切除术的优点、适应证、手术要点及临床使用价值,并与完全腹腔镜下操作比较.方法自2002年1月～2003年4月,对110例因卵巢囊肿患者行腹腔镜手术,其中74例采用腹腔镜下卵巢囊肿体外剥除或切除,对照组则完全镜下操作.结果改良组平均手术(40.14+11.12)min,平均二氧化碳注气(10.11±2.56)min,平均出血量(8.35±5.70)ml、平均术后排气(1.73±0.45)d,与对照组的平均手术(62.50±20.23)min、平均二氧化碳注气(57.50±17.23)min、平均出血量(27.22±13.73)ml、平均术后排气(1.89±0.32)d比较差异有显著性(P＜0.01).无粘连者腹壁切口仅2个,囊液不外漏,囊皮完整剥除,卵巢止血完善.结论腹腔镜下卵巢囊肿体外剥除可很好保留正常卵巢组织,显著减少二氧化碳注气时间,防止囊肿破裂、囊液外漏,较用取物袋方法简单,缩短了手术时间.

Objectives: The article was to demonstrate the advantage, indication,operation focus, the practical value of a modified technique of Laparoscopic Extracorporeal Oophorectomy, in operating comparison with the one under the complete laparoscopy. Methods: From January, 2002 to April, 2003, 110 operations had been done with laparoscopy. Out of them 74 cases were done with the modified laparoscopy. Results: The operating time of reformed group was (40.14 ±11.12)min, The average carbon dioxide insufflation′s time was (10.11±2.56)min, the amount of bleeding was (8.35±5.70)ml, the average exhausting time was (1.73±0.45) days. It was significantly in contrasts with the control group with the average operating time of (62.50±20.23)min, average carbon dioxide insufflation′s was (57.50±17.23)min, the amount of bleeding was (27.22±13.73)ml, the average exhausting time was (1.89±0.32) days (P <0.01). Conclusion: Laparoscopic Extracorporeal Oophorectomy or cystectomy can perfectly keep the normal ovarian structure., greatly shorten the time of carbon dioxide insufflations, prevent the rupture of the cyst and its liquid leaking,and shorten the time of operation. It is more simple than the bag-picking method.