腹腔镜手术治疗卵巢良性肿瘤的临床分析

目的探讨腹腔镜治疗卵巢良性肿瘤的可行性. 方法回顾分析1997年1月～2003年10月150例卵巢良性肿瘤行腹腔镜手术资料,其中卵巢肿瘤剥除术146例,附件切除术4例. 结果 150例均获成功,无一例中转开腹;2例轻度腹膜外气肿,无其他并发症.术中平均出血100 ml,平均手术时间80 min,平均住院时间4.3 d.随访128例,平均随访3.8年,除巧克力囊肿复发4例(4/38)外,余无复发.合并不孕15例,6例妊娠,受孕率40%. 结论严格掌握手术适应证,腹腔镜手术治疗卵巢良性肿瘤是一种安全、有效的方法.

Clinical analysis of laparoscopic surgery in the treatment of ovarian benign tumors

Objective To explore the feasibility of laparoscopic operations in the treatment of ovarian benign tumors. Methods A retrospective analysis of 150 cases of ovarian benign tumors treated by laparoscopic surgery (146 cases of oophorocystectomy and 4 cases of adnexectomy) from January 1997 to October 2003 was made. Results Surgery was completed successfully in all the 150 cases and no conversions to open surgery were required. Mild extraperitoneal emphysema was observed in 2 cases and no other complications occurred. The mean blood loss was 100 ml, the mean operation time was 80 min, and the mean length of hospitalization was 4 3 days. A total of 128 cases were followed up for a mean of 3 8 years. Recurrence was found in 4 cases in 38 cases of endometriosis cysts. Among 15 patients complicated with infertility, conception occurred in 6 patients after surgery, with a pregnancy rate of 40%. Conclusions Laparoscopic surgery is safe and effective for ovarian benign tumors provided patients are properly selected.