摘要
目的:探讨腹腔镜下巨大良性卵巢肿瘤手术方式改进的应用价值。方法:58例巨大卵巢囊肿患者,其中囊肿直径≥14 cm 37例,≥20 cm 15例,≥28 cm 6例,均改进手术穿刺方式应用腹腔镜治疗,观察患者手术时间、出血量、并发症及术后恢复情况。结果:手术时间(78.54±28.31)min,出血量(46.0±23.5)mL,患者术后下地活动时间(8.41±2.49)h,肛门排气时间(6.21±3.50)h,住院时间(4.2+1.5)d。结论:严格排除恶性肿瘤及手术禁忌证,改进手术方式,应用腹腔镜治疗巨大良性卵巢肿瘤手术出血量少,术后并发症少,恢复快,住院时间短,安全、有效。
Objective To discuss the value of the modified laparoscopic surgery to large ovarian cysts.Methods The clinical data of 58 cases of large ovarian cysts were retrospectively analyzed,in which the diameter was longer than 14 cm in 37 cases,longer than 20 cm in 15 cases,and longer than 28 cm in 6 cases.All patients received modified puncture procedure and laparoscopic surgery.The operation time,blood loss volume,complications and postoperative recovery were observed and statistically analyzed.Results The operative time was（78.54 ± 28.31） minutes,the blood loss volume was（46.0±23.5） mL,the postoperative ambulation time was（8.41±2.49） hours,the anal exhaust time was（6.21±3.50） hours,and the length of hospital stay was（4.2±1.5） days.Conclusion The modified laparoscopic surgery is safe and effective for larger ovarian cyst when the patients are not complicated with malignancy or laparoscopic surgery contraindications.It can reduce surgical blood loss volume and the complications,speed recovery,and shorten hospital stay.
出处
《中华实用诊断与治疗杂志》
2011年第1期38-39,共2页
Journal of Chinese Practical Diagnosis and Therapy
关键词
巨大卵巢肿瘤
腹腔镜
手术/改进
Large ovarian cyst
laparoscopy
operation/modified
