摘要
目的 探讨腹腔镜下卵巢子宫内膜异位囊肿剥出术的可行性及技术要点。方法 回顾性分析１９９５年５月～１９９９年５月施行的９２例腹腔镜下卵巢巧克力囊肿剥出术的手术情况。结果 ９２例患者按ＲＡＦＳ分期，Ⅲ期６１％、Ⅳ期３９％。手术均顺利完成，无中转开腹手术，平均手术时间６２ｍｉｎ，平均术中出血５０ｍｌ，术后平均住院２．６ｄ。病理均证实为卵巢子宫内膜异位囊肿。无术时术后并发症。结论 对属于中、重度（Ⅲ、Ⅳ期）的卵巢子宫内膜异位囊肿进行腹腔镜下囊肿剥出术是安全可行的，应作为治疗的首选术式。在进行囊肿剥出前必须先分离卵巢与周围脏器的粘连，游离卵巢，为减少术后复发，应完全剥除囊壁，不缝合卵巢有利于减少术后粘连。
Objective To assess the feasibility and key points of laparoscopic cystectomy for ovarian endometriomas. Methods 92 pateints with ovarian endometriomas undergoing laparoscopic cystectomy were retrospectively analyzed. Results All patients were successfully treated laparoscopically without intra--and post--operative complications. The average operative time was 62 min and postoperative hospitalition was 2.6 d. Conclusion For the intermediate -- severe ovarian endometriomas patients laparoscopic cystecomy is safe and possible. In the operation lysis of adhesions with sharp and blunt dissection to fully mobilize the ovaries is very important.
出处
《上海第二医科大学学报》
CSCD
2000年第2期145-147,共3页
Acta Universitatis Medicinalis Secondae Shanghai
