腹腔镜下手术治疗卵巢良性病变91例临床分析

目的探讨腹腔镜下卵巢良性病变手术的临床价值。方法对91例卵巢良性病变者在腹腔镜下行囊肿剥除术77例,附件切除术14例,同时行盆腔粘连分解术33例、输卵管通液术11例,1例中转开腹,比较囊肿破裂者与未破裂者术后低热的发生率。结果91例患者术前对肿块性质的判断均正确,腹腔镜下完成手术90例,手术成功率98.90%,术中经充分的盆腔冲洗,囊肿破裂者与未破裂者术后低热的发生率无差异(P>0.05)。结论提高卵巢良性病变的术前诊断率,腹腔镜下行卵巢良性病变的手术是可行的。

Clinical analysis of laparoscopic surgery for benign ovarian diseases in 91 cases

Objective To discuss the clinical value of laparoscopic surgery for benign ovarian diseases.Methods Out of 91 cases of benign ovarian diseases, 77 cases underwent laparoscopic ovarian cystectomy, and 14 cases underwent appendectomy. one case could not be performed by laparoscopic surgery and transfered to laparotomy, 33 cases underwent pelvic adhesiolysis, and 11 cases underwent hydrotubation during the operations. To compare the frequency of low fever postoperative between patients who had cyst rupture and those had no.Results The diagnosis of the tumor property was accurate preoprative in 91 patients, 90 cases were performed successfully by laparoscope surgery, and the rate of success in laparoscope surgery was 98.90%. There was no significant difference in the frequency of low fever postoperative between either cyst rupture or no by washing fully pelvic during operating (P>0.05).Conclusion It is necessary to enhance the accuracy of diagnosis of benign ovarian diseases preoperative, and it is practicable that the operations for benign ovarian diseases are performed by laparoscopic surgery.