腹腔镜下良性卵巢囊肿剥出术术式探讨

Enucleation of benign ovarian cysts by laparoscopy

目的:探讨在腹腔镜下良性卵巢囊肿剥出术手术技巧改进的有效性。方法:回顾性分析了234例(271个囊肿)卵巢囊肿在腹腔镜下剥出术的术式。根据术式分成A组(施行改进的腹腔镜下卵巢囊肿剥出术)152例(177个囊肿),B组(施行传统的腹腔镜下卵巢囊肿剥出术)82例(94个囊肿),对比分析两组的手术过程和随访资料。结果:A组和B组的囊肿破裂率分别为1.7%、18.1%,两组差异有显著性(P<0.01);手术时间分别为(40±14)m in、(47±16)m in(P<0.01);出血量分别为(25±17)m l、(27±19)m l(P>0.05),肛门排气恢复时间分别为(18±8)h、(19±8)h(P>0.05);住院时间分别为(2.0±0.5)d、(2.2±0.8)d(P>0.05)。结论:改进后的腹腔镜下卵巢囊肿剥出术,操作安全有效,手术时间短。

Objective： To evaluate the efficacy of improved laparoscopic enucleation of benign ovarian cysts. Methods： A total of 234 cases of ovarian cysts with 271 cysts were analyzed retrospectively. 152 patients with 177 ovarian cysts （Group A） underwent the improved laparoscopic enucleation and 82 patients with 94 ovarian cystss （Group B） underwent the classic laparoscopic enucleation. The data of operative process and postoperative follow-up were compared between two groups. Results： The rate of spillage of the Group A and Group B was 1.7% and 18.1%（P〈0.01）,respectively. The operating time was （40±14）min and （47±16） min（P〈0.01）,respectively. The blood loss was （25±17）ml and （27±19）ml（P〉0.05）, respectively. The bowel defaltion recovery time was （18±8）h and （19±8）h（P〉0.05）, respectively. The length of hospital stay was （2.0±0.5）d and （2.2±0.8）d （P±0.05）, respectively. Conclusion： Compared with classic laparoscopic procedure, the improved laparoscopic ovarian enucleation seems to be safer and more effective with shorter operating time.