腹腔镜剥离卵巢子宫内膜异位囊肿92例分析

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。

92 Cases Report of Laparoscopic Treatment of Ovarian Endometriomas by Cystectomy

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.