微型腹腔镜治疗附件囊肿的临床研究

Clinical application of mini-laparoscopic in adnexa uteri cysts

目的探讨微型腹腔镜在治疗附件囊肿中的临床价值。方法对2003年4月￣2004年10月经微型腹腔镜手术治疗的33例附件囊肿病例的资料进行分析,与21例普通腹腔镜手术病例的术中术后效果进行比较。结果研究组:出血量(35±6)mL,手术时间(36±6)min,术后病率10%,术后排气时间(10.3±5)h,术后留院日(2.9±1.0)d;对照组:出血量(45±5)mL,手术时间(30±6)min,术后病率11.3%,术后排气时间(11.3±7)h,术后留院日(4.5±1.0)d。两组相比,研究组术后留院日较对照组短,有统计学意义(P<0.01),其余指标差异无显著性(P>0.05)。结论微型腹腔镜治疗单纯附件囊肿创伤小,恢复快,伤口美观,值得临床推广。

[Objective] To explore the clinical application of mini-laparoscopic in adnexa uteri cysts. [Methods] 33 patients with uerine adnnexa cysts were operated by mini-laparoscopy. Their clinical data were analyzed retrospective. [Results] All of the operations get success. Operation time is 20 minutes to 40 minutes. After operation 2 to 3 days, patients recover and leave hospital. [Conclusions] Adnexa uteri cysts surgery under mini-laparoscopic is smaller trauma, faster recovery, more perfect incision.