孕28^(+3)周合并卵巢囊肿蒂扭转行腹腔镜手术1例报告

Laparoscopic Surgery for Ovarian Cyst Torsion in a 28-Week Pregnancy Patient

本文报道我院2015年2月16日收治1例晚期妊娠合并卵巢囊肿蒂扭转,急诊在全麻下行腹腔镜探查术,术中探查左侧卵巢见一肿瘤,9 cm×6 cm大小,未见变黑坏死,蒂部扭转360°,包膜完整。用穿刺针穿刺囊肿,抽出清亮液体,上提左卵巢,剥除囊肿壁,标本置入袋内取出,手术顺利,手术时间45 min,术后硫酸镁针保胎治疗,术后5 d顺利出院。我们认为对于晚期妊娠合并卵巢囊肿患者,在充分术前评估及准备前提下,腹腔镜手术是安全可行的。

This paper reported one late pregnancy patient with ovarian cyst torsion, recruited in our hospital on February 16, 2015. She received emergency laparoscopic exploration under general anesthesia. During the operation, a left-sided, capsule-intact ovarian tumor was found, sized 9 cm × 6 cm, without black necrosis and with pedicel twisted 360-degree. Clear liquid was obtained by needle aspiration biopsy from the cyst. The left ovary was lifted up and its cyst wall was stripped, and removed sample was put into a hag to take out. The operation was performed smoothly, with a time of 45 min. Magnesium sulfate was injected for tocolytic therapy after surgery. The patient was discharged after 5 days. We believe that for patients with advanced ovarian cysts during pregnancy, under the premise of full preoperative assessment and preparation, laparoscopic surgery in the third trimester of pregnancy is feasible and safe.