经阴道行良性卵巢囊肿剥离术195例报告

Transvaginal enucleation of benign ovarian cysts: A report of 195 cases

目的探讨经阴道行良性卵巢囊肿剥离术的临床实用价值.方法2001年1月2004年6月对有手术指征的良性卵巢囊肿195例实施阴式手术,并观察有关手术指标.结果经阴道完成手术190例,5例因盆腔广泛粘连中转开腹.手术时间45～83 min,平均50 min.术中出血30～90 ml,平均45 ml.术后排气时间4～24 h,平均8.5 h.术后病率18.4%(35/190).183例随访2周内恢复日常家务及工作者分别为72.1%(132/183)、48.1%(88/183).结论经阴道行良性卵巢囊肿剥离术是一种安全、微创的手术.

Objective To investigate the clinical value of transvaginal enucleation of benign ovarian cysts. Methods Transvaginal enucleation of benign ovarian cysts was carried out in 195 patients with surgical indications between January 2000 and June 2004. Relative surgical parameters were observed and recorded. Results Transvaginal operations were successfully completed in 190 patients, while conversions to open surgery were required in 5 because of massive pelvic adhesion. The operating time was 45 - 83 min （mean, 50 min） , the intraoperative blood loss was 30 -90 ml （mean, 45 ml）, the time to first passing flatus was 4 - 24 hours （mean, 8.5 hours）, and the rate of postoperative pyrexia, 18.4% （35/190）. Follow- up for 2 weeks showed that patients resumed daily activities and regular works in a percentage of 72. 1% （132/183） and 48. 1% （88/183）, respectively. Conclusions Transvaginal enucleation of benign ovarian cysts has been shown to be a safe and mini - invasive procedure that improves the patient＇ s quality of life.