腹腔镜治疗小儿卵巢囊肿32例临床体会

The clinical experience of laparoscopic treatment of 32 cases of pediatric ovarian cyst

目的:探讨腹腔镜手术治疗小儿卵巢囊肿的疗效、优点及注意事项。方法:回顾分析2004年6月至2011年4月为32例小儿卵巢囊肿患者施行腹腔镜手术的临床资料。结果:32例手术均获成功。22例完整剥除肿瘤,6例因瘤体较大、残余卵巢组织较少或卵巢扭转坏死行坏死卵巢切除术,4例因囊肿较小且囊壁较薄,行囊肿开窗术。手术时间平均(48±13)min,术后平均住院(4±1)d。患儿术后均康复良好,12～23 h肠道通气,无腹痛、粘连性肠梗阻及切口感染等并发症发生。术后随访2个月～6年,无复发。结论:腹腔镜治疗小儿卵巢囊肿具有损伤小、术后疼痛轻、康复快、并发症少等优点,安全有效。

Objective：To explore the efficacy, advantages and precautions of laparoscopic surgery in the treatment of pediatric ovarian cysts. Methods： The clinical data of 32 children who suffered from ovarian cyst and underwent laparoscopie surgery from Jun. 2004 to Apr. 2011 were retrospectively analyzed. Results：All 32 operations were successful. 22 cases underwent complete stripping of the tumor. 6 cases underwent necrosis ovarian resection due to larger tumor, less residual ovarian tissue or ovarian torsion and necrosis. 4 cases underwent cyst fenestration due to the small cyst and thin cyst wall. The operative time was （48 ± 13 ） rain, mean postoperative hospital stay was （4±1 ） d. All patients recovered well, fared after 12 to 23 h, without abdominal pain, adhesive intestinal obstruction or wound infection, no recurrence or associated complications were found in the follow up of 2 months to 6 years. Conclusions ： Laparoscopic treatment of ovarian cysts in children is mini-invasive, safe and effective, has advantages of less postoperative pain, faster recovery and fewer complications.