腹腔镜下卵巢良性肿瘤剥除术135例临床分析

目的探讨腹腔镜下卵巢肿瘤的手术技巧。方法回顾分析135例良性卵巢肿瘤包括巨大卵巢肿瘤、卵巢巧克力囊肿、合并严重盆腔粘连以及不育症等并发症的腹腔镜下手术技巧。结果134例在腹腔镜下顺利完成,手术时间最长90min,最短15min,瘤体直径最大者26cm,最小约2cm,1例双侧巧克力囊肿,盆腔粘连较重改中转开腹。全部患者术后疼痛轻微,常规应用抗生素3d;术后体温第3天全部正常,住院4～6d,134例腹腔镜下手术病例随访最长3a无复发。10例合并不育患者术后2a内妊娠者8例。结论腹腔镜下卵巢良性肿瘤剥除术具有微创、恢复快、疼痛轻及美观等优点,是治疗卵巢良性肿瘤的最佳方法。

Clinical analysis on 135 cases of laparoscopic surgery in the treatment of benign ovarian tumor

[Objective] To evaluate the clinical value of laparoscopic surgery in the treatment of benign ovarian tumor. [Methods] The laparoscopic surgical course and outcome in the treatment of 135 cases of benign ovarian tumor, including massive ovarian tumor, Chocolate cyst, complicated severe adhesion and infertility was analyzed retrospectively. [Results] One hundred and thirty four cases were completed by laparoscopy successfully. The surgical time varied from 15 minutes to 90 minutes. The diameter of tumors varied from 2cm to 26cm. One case which had bilateral Chocolate cyst and severe adhesion was transferred into laparotome. The follow-up survey to 134 cases for 3 years showed no relapse. Among the ten infertile women eight cases gestated in two years after surgery. [Conclusions] The advantages of laparoscopic surgery in the treatment of benign ovarian tumors are mini-invasive, quick recovery, slight pain and beauty. It is shown that the best way to manage benign ovarian tumor is laparoscopy.