腹腔镜在卵巢囊肿手术中的应用分析

Analysis of laparoscopic surgery in ovarian cysts

目的 探讨腹腔镜下卵巢囊肿手术的方法及应用前景。方法 对 98例开腹行卵巢囊肿剥除术或囊肿切除术的患者(巧克力囊肿 5 0例 ,单纯性浆液性囊腺瘤 2 6例 ,良性畸胎瘤 2 2例 )及 85例腹腔镜手术的卵巢囊肿患者 (巧克力囊肿 48例 ,单纯性浆液性囊腺瘤 2 0例 ,良性畸胎瘤 1 7例 )资料 ,进行回顾性分析。结果 85例腹腔镜手术均成功完成 ,腹腔镜组住院时间显著缩短。结论 腹腔镜下卵巢囊肿手术完全可安全有效用于临床 ,且具有创伤小、恢复快的特点。

Objective To explore the method and application prospect of the laparoscopic surgery in benign ovarian cysts. Methods The data of 98 patients (50 with ovarian endometriotic cyst, 26 with simple serous cystadenoma, and 22 with benign teratoma) undergoing cystectomy or enucleation with laparotomy and another 85 patients including 48 with ovarian endometriotic cyst, 20 with simple serous cystadenomas, and 17 with benign teratomas having same surgeries laparoscopically were analyzed retrospectively.Results All 85 patients were operated successfully via laparoscopy, with significantly shortened hospitalized time. Conclusion Laparoscopic surgery, a feasible and safe method, has the advantages of minimal invasiveness and shorter convalescence, and can replace laparotomy in the management of most benign ovarian cysts.