腹腔镜治疗卵巢巨大囊肿的可行性分析

Analysis of the Feasibility of Laparoscopic Treatment of Huge Ovarian Cyst

目的探讨分析腹腔镜治疗巨大卵巢囊肿的可行性、安全性和有效性。方法选取2012年3月至2013年6月在我院行腹腔镜巨大卵巢囊肿手术患者36例,根据临床表现、术前超声、妇科检查、肿瘤标志物等检查,初步判断卵巢囊肿的性质。36例行腹腔镜下卵巢囊肿剥除术或附件切除术为研究组,27例行开腹手术为对照组。结果 36例患者均在腹腔镜下完成,无1例中转开腹。研究组术中出血量、手术时间、住院时间、术后肠道功能恢复、术后病率均优于对照组,差异均有统计学意义(P<0.05)。结论腹腔镜治疗巨大卵巢囊肿具有创伤小、恢复快等优点,安全可行。

Objective To discuss and analyze the feasibility, safety and efficiency of laparoscopic treatment of ovarian cyst. Methods To select 36 cases of patients with huge ovarian cyst operation from March 2012 to June 2013 in our hospital, preliminary judgment of ovarian cystaccording to the clinical manifestation, preoperative ultrasound, gynecological examination, tumor markers examination. 36 cases underwent laparoscopic ovarian cystectomy or adnexectomy as study group, 27 cases underwent open operation as control group. Results 36 patients were completed under laparoscopy, and no cases were converted to laparotomy. The amount of intraoperative bleeding, operation time, hospitalization time, postoperative intestinal function recovery, postoperative disease rate of study group were all better than control group, differences all had statistical significance（P〈0.05）. Conclusion Laparoscopic treatment of huge ovarian cyst has the advantages of small trauma, quick recovery, it is safe and feasible.