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《卵巢囊肿蒂扭转保留卵巢腹腔镜手术62例报告.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、·600·中国微创外科杂志2014年7月第14卷第7期ChinJMinInvSurg,July2014,Vo1.14.No.7临床论著·卵巢囊肿蒂扭转保留卵巢腹腔镜手术62例报告张斌郭艳李静静(河南省鹤壁市人民医院妇产科,鹤壁458030)【摘要】目的探讨卵巢囊肿蒂扭转保留卵巢腹腔镜手术的价值。方法2007年1月一2012年6月我院收治卵巢囊肿蒂扭转62例,其中合并妊娠12例,腹腔镜下先高位结扎卵巢动、静脉,再将扭转的卵巢复位,剔除卵巢囊肿。结果62例均成功保留患侧卵巢。蒂扭转180。一1080。,其中<360。19例,360。~720。21例,>720。22例;颜色
2、紫黑色26例,紫色或正常36例。手术时间(57±23)min;术中出血量5~130ml,平均50.6ml;术后肛门排气时间(24±13)h。无血栓形成、感染等,妊娠患者无流产等发生。术后1~3个月性激素水平恢复正常,6~24个月43例患侧卵巢有排卵。结论腹腔镜下高位结扎卵巢动静脉,剔除卵巢囊肿,既避免血栓脱落的可能,又能保留卵巢,是一种较好的手术方法,但对医师腹腔镜手术操作技能的要求较高。【关键词】腹腔镜手术;卵巢囊肿;蒂扭转中图分类号:R737.31文献标识:A文章编号:1009—6604(2014)07—0600—03doi:10.3969/j.issn.1009
3、—6604.2014.07.008LaparoscopicOvarian-conservingSurgeryforOvarianCystPedicleTorsion:Reportof62CasesZhangBin,GuoYah,LiJingiing.DepartmentofObstetricsandGynecology,HebiPeople’SHospital,Hebi458030,ChinaCorrespondingauthor:GuoYan,E—mail:wshj6789@163.tom【Abstract】0bjectiveToexplorethevalueofl
4、aparoscopicovarian。conservingrestorationforovariancysttorsion.MethodsAtotalof62casesofovariancysttorsion,12ofwhichwerecombinedwithpregnancy,betweenJanuary2007andJune2012wereretrospectivelyanalysed.Thesurgicalmanagementinvolvedlaparoscopichighligationofovarybloodvesse]s,restorationoftheo
5、vary,andresectionofovariancysts.ResultsAllthe62casesoflaparoseopicrestorationweresuccessfullyperformedwithovarianreservation.Thecyststwistedfor180。一1080。,including19casesof<360。,21casesof360。~720。,and22casesof>720。.Thecystswerecolouredpurpleblackin26cases,purpleornormalin36cases.Theoper
6、ationtimewas(57±23)min,theintraoperativebloodlosswas5—130ml(mean,50.6m1),andanalexsuflationtimewas(24.4-13)hours.Noembolism,infection,andabo~ionoccu~edduringpost·operation.Thelevelofestrogenrecoveredtonormalin1—3monthspostoperatively.Ovulationattheproceduresidewasfoundin43casesin6—24mon
7、ths.ConclusionsLaparoscopicovarian—conservingsurgeryisasafeprocedureforovariancystpedicletorsion.Highligationofovarianbloodvesslesandresectionofovariancystscannotonlyavoidthepossibilityofthrombosisbutalsopreservetheovarianfunctions.Theshortageofthisoperationiscomplicatedtoperfo
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