腹腔镜下卵巢子宫内膜异位囊肿剔除术相关并发症分析

The analysis of complications associated with laparoscopic enucleation of the ovarian endometriosis

目的研究腹腔镜下卵巢子宫内膜异位囊肿剔除术相关并发症的发生情况。方法回顾性分析北京协和医院1994年1月至2006年1月收治的2867例腹腔镜下卵巢子宫内膜异位囊肿剔除术患者的近、远期并发症的发生情况。结果总计并发症9例,发生率为0·3%。其中近期并发症包括术中髂血管损伤2例、肠损伤3例,术后盆腔脓肿1例;远期并发症有输尿管梗阻导致单侧肾积水进而肾功能丧失1例和卵巢功能早衰2例。结论卵巢子宫内膜异位囊肿腹腔镜手术存在肠道?输尿管与腹膜后血管损伤的风险,远期可发生卵巢功能早衰这种罕见并发症。

Objective To investigate the complications and the relative risk factors of laparoscopic enucleation of the ovarian cysts in endometriosis, Methods Retrospectively analyze 2867 cases of laparoscopic enucleation of endometrial cysts of ovary performed in the Peking Union Hospital from January 1994 to January 2006, including the early and the late complications. Results Complications occurred in 9 cases, with an incidence of 0. 3%. The early complications includ- ed 2 cases of iliac vessel injury, 3 cases of intestine injury, and 1 case of postoperative pelvic abscess. The late complications included 1 case of renal function loss because of unilateral hydronephrosis resulting from chronic ureter obstruction, and 2 cases of premature ovarian failure. Conclusion There are risks of injuries to intestine, ureter and retroperitoneal vessels during laparoscopic enucleation of endometrial cysts of ovary. The rare complication such as premature ovary failure may occur lately.