腹腔镜诊治卵巢囊肿蒂扭转

目的:探讨腹腔镜在诊断和治疗卵巢囊肿蒂扭转方面的应用价值。方法:对1994年1月至2006年2月14例经腹腔镜诊断和治疗的卵巢囊肿蒂扭转患者的临床资料进行回顾性分析。结果:14例中12例(85.7%)临床表现为急性腹痛,8例(57.14%)伴有恶心呕吐;仅6例术前诊断为卵巢囊肿蒂扭转;14例均经腹腔镜确诊并于镜下完成治疗,行患侧附件切除术9例,蒂扭转复位后行卵巢囊肿剥出术5例,平均手术时间114.3m in,平均出血24.3m l,无手术并发症发生;术后病理诊断卵巢成熟囊性畸胎瘤10例,浆液性囊腺瘤3例,卵巢单纯性囊肿1例。结论:腹腔镜对早期诊断卵巢囊肿蒂扭转有重要价值,在诊断的同时治疗卵巢囊肿蒂扭转安全有效。

Laparoscopy for diagnosis and treatment of ovarian torsion

Objective:To explore the value of laparoscopy in the diagnosis and treatment of ovarian torsion.Methods:The clinical data of 14 patients with ovarian torsion diagnosed and treated by laparoscopy from Jan.1994 to Feb.2006 were reviewed retrospectively.Results:12 cases(85.71%) presented acute abdominal pain.8 cases(57.14 %) complicated with nausea and vomiting.Only 6 cases got correct preoperative diagnosis.All of the cases were diagnosed and treated by laparoscopy.Among them,9 cases underwent adnexectomy,and detorsion and cystectomy were performed in 5 cases.The mean operating time was 114.3 min,and the mean blood loss was 24.3ml.All of the cases had no complications.Pathological examination reported 10 cases of mature teratoma,3 cases of ovarian serous cystadenoma,and 1 case of ovarian simple cyst.Conclusions:Laparoscopy is valuable in early diagnosis of ovarian torsion,and the laparoscopic therapy of ovarian torsion is safe and effective.