腹腔镜手术治疗妊娠合并卵巢肿瘤30例报告

目的:探讨妊娠合并卵巢肿瘤的临床特点及腹腔镜手术技巧.方法:回顾分析2003年1月至2010年7月为30例妊娠合并卵巢肿瘤患者行腹腔镜手术的临床资料.患者平均27.3岁,其中18例孕周小于12周,12～18周12例.经产妇7例.11例有腹部症状,2例阴道流血.肿瘤直径平均76.7mm.结果:30例均顺利完成腹腔镜手术,...

Clinical analysis of laparoscopic surgery for ovarian tumors during pregnancy:a report of 30 cases

Objective:To investigate the clinical characteristics and laparoscopic of ovarian tumors during pregnancy.Methods:The clinical data of 30 pregnant women with ovarian tumors underwent laparoscopic surgery between Jan.2003 and Jul.2010 were analyzed retrospectively.The average age was 27.3 years old.Eighteen cases were less than 12 weeks of gestational age,12 cases were between 12 and 18 weeks.Abdominal symptom was present in 11 cases,vaginal bleeding was present in two.The average tumor size was 76.7mm.Results:Laparoscopic surgery was successfully performed on all patients,24 cases with laparoscopic excision of ovarian tumor,5 cases with laparoscopic resection of the affected side annex and one with laparoscopic ipsilateral corpus luteum cyst torsion reduction.The operation time was 85-120min,blood loss was 10ml,mean hospital stay was 3.8 days.Pathological diagnosis was ovarian mature cystic teratoma in 18 cases(60%),luteal cyst in 6 cases(20%),ovarian goiter in 2 cases(6.7%),mucinous cystadenoma in 2 cases(6.7%),serous cystadenoma in 1 case(3.3%),borderline papillary mucinous cystadenoma,focal gland with canceration in 1 case(3.3%).Post operation,20 cases were pregnant to term delivery,8 cases in the preoperative or postoperative period gave up baby and inevitable abortion occurred in 2 cases prior to operation.Conclusions:Laparoscopic surgery for ovarian tumors during pregnancy is a safe and feasible technique with less trauma,less influence of pregnancy and quick recovery.