腹腔镜治疗卵巢囊肿1564例临床分析

CLINICAL ANALYSIS OF 1564 CASES PERITONEOSCOPE TREATMENT OF OVARIAN CYSTS

目的探讨腹腔镜技术在卵巢囊肿治疗中的临床价值及可行性。方法对我院2007年1月～2009年12月腹腔镜治疗卵巢囊肿1564例临床资料进行回顾性分析。结果1564例腹腔镜手术无1例中转开腹及发生并发症。平均手术时间(38·2±4·5)min,术中出血量(23·0±6·9)ml,离床时间为(1·67±0·89)d,术后2d体温>38℃者占5·67%,住院天数(3·7±4·9)d,术后6h进流食,6～12h拔除尿管。结论腹腔镜手术具有创伤小、恢复快、术中出血少、并发症少、治疗效果可靠及住院时间短等优点,是目前妇科需要广泛应用的一种最佳术式,值得推广。但对炎症粘连严重,解剖不清仍需探腹探查。

Objective Discuss the clinical value and feasibility of peritoneoscope technology in ovarian cysts treatment. Methods Retrospectively review 1 564 cases Peritoneoseope treatment of ovarian cysts in our courtyard from January, 2007 to the December, 2009. Results In 1 564 cases there was no case had to transfer to open abdomen or occurred complication. Average surgery time 38.2 ± 4. 5 minute, in technique volume of bleeding 23.0 ± 6.9 ml, getting out of bed time for 1.67 ± 0. 89 d, after the technique, 2 d body temperature 〉 38 ℃ accounts for 5.67%. The time stayed in hospital 3.7 ±4. 9 d, after the technique, 6h enters the fluid food, the 6 - 12 h wiping out ureteral catheter. Conclusion The peritoneoscope surgery wound is small, restores quickly, in the technique bleeds few, the complication are few, the treatment result is reliable and in hospital time short and so on merits. It is the present gynecology department needs to widespread the application of best technique type, so it is worth promoting. But it was serious to the inflammation adhesion, if dissects is unclear exploratory laparotomy is necessary.