325例腹腔镜附件手术的临床分析

Clinical Analysis on 325 Cases of Adnexal Operation with Laparoscopy

目的:评价腹腔镜在附件疾病治疗中的价值及安全性。方法:回顾性分析325例附件良性疾病腹腔镜手术治疗情况。随机选取妇科附件良性肿瘤、异位妊娠、输卵管粘连及伞端不通、卵巢破裂、巧克力囊肿,卵巢冠囊肿等病例;采用腹腔镜手术治疗。术式根据病情不同,采取卵巢(冠)囊肿剥除术、附件切除术、输卵管切除术及造口术。结果:腹腔镜手术占同期手术42．54%,手术成功率100%,发生并发症5例(1．54%)。结论:腹腔镜微创手术,副作用少,适应证掌握得当,妇科大部分附件手术可在腹腔镜下完成。

Objective： To evaluate the importance and safety of laparoscopy in the treatment of benign adnexal diseases. Methods： We retrospectively analysed 325 cases of benign diseases which were operated with laparoscopy. Those patients with benign adnexal rumor, or ectopic pregnancy, oviduct adhension, fimbriated extremity of fallopian obstruction, ovarian rupture, chocolate cyst or paraovarian cyst, were operated with laparoscopy. Based on the different situations of illness, different operation methods were performed, including oophorocystectomy, adnexectomy, salpingectomy and salpingostomy. Results： The rate of la- paroscopic operation is 42.54% of all the operation in the same period and the achievement ratio is 100%. Only five cases （1.54%） occurred with complications. Conclusion： If the indications are appropriately controlled, most of the operations on adnexal diseases could be made with a laparascope and the complications could be reduced.