腹腔镜手术治疗卵巢囊肿386例

Laparoscopic operation for the treatment of ovarian cysts: A report of 386 cases

目的总结腹腔镜下卵巢囊肿手术的经验。方法回顾分析1999年7月～2004年12月我院386例囊腹腔镜卵巢囊肿手术的临床资料。结果384例腹腔镜手术成功,2例因既往有手术史或盆腔粘连中转开腹。术中出血平均20.6ml(10～60ml)。手术时间平均55min(20～140min)。术后住院平均3d(2～5d)。194例随访1～60个月,平均24个月,盆腔检查和B超均正常。结论腹腔镜下卵巢囊肿手术安全有效,具有创伤小、术后恢复快、住院时间短等特点。

Objective To summarize the experience of laparoscopic operation in the treatment of ovarian cysts. Methods Clinical data of 386 patients with ovarian cysts treated laparoscopically from July 1999 to December 2004 in this hospital were retrospectively analyzed. Results Laparoscopic operation was successfully performed in 384 cases, while a conversion to open surgery was required in 2 cases because of previous operation history or pelvic adhesions. The mean intraoperative blood loss was 20.6 ml (range, 10~60 ml) and the mean operating time, 55 min (range, 20~140 min).The mean postoperative hospital stay was 3 days(range,2~5 days).In a follow-up for 1~60 months (mean, 24 months) in 194 cases, pelvioscopy and B-ultrasonography examinations revealed normal findings. Conclusions Laparoscopic operation for ovarian cysts is an effective and safe method. It is characterized with minimal invasion, quick recovery and short hospitalization.