腹腔镜手术治疗巨大卵巢囊肿38例临床分析

目的 探讨腹腔镜手术治疗巨大卵巢囊肿的可行性. 方法 2002年12月～2005年10月对38例巨大卵巢囊肿行腹腔镜下囊肿剥除术或患侧附件切除术.将第2或第3个 trocar（多为肿瘤侧）直接刺入囊肿内,吸引器吸净囊液,并将囊肿提至切口处同时将切口扩大至20 mm,切除囊肿. 结果 38例均在腹腔镜下完成手术, 1例采用开放式, 37例行闭合式.卵巢囊肿剥除术28例,附件切除术10例.无手术并发症.35例术后随访1～24个月,平均10个月,盆腔检查及B超均正常. 结论腹腔镜手术治疗巨大卵巢囊肿安全可行.

Clinical Analysis on 38 Cases of Laparoscopic Operation in the Treatment of Large Ovarian Cysts

Objective To investigate the feasibility of laparoscopic operations in treating large ovarian cysts.Methods A total of 38 patients with large ovarian cysts underwent laparoscopic cyst cystectomy or adnexectomy on the affected side from December 2002 to October 2005.The 2nd or 3rd trocar(usually on the tumor side)was inserted into the cyst,the fluid in which was drained with a suction unit.The cyst was then removed after being elevated toward the incision,which was extended to 20 mm.Results Large ovarian cysts in the 38 cases were all removed successfully,including cystectomy in 28 cases and adnexectomy in 10 cases respectively.No complication occurred.The follow-up period was 1-24 months(mean:10 months)for 35 cases.No abnormal findings in pelvic examination and B ultrasonography were observed.Conclusions Laparoscopic operation is a safe and feasible therapeutic method for large ovarian cysts.