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1、腹腔镜手术治疗卵巢囊肿蒂扭转43例临床分析【摘要】 目的:探讨腹腔镜手术治疗卵巢囊肿蒂扭转的临床价值。方法:回顾性分析我院2001年2月至2008年10月间接受腹腔镜诊治的43例卵巢囊肿蒂扭转患者的临床资料。结果:43例患者平均年龄26.6岁,有腹痛病史41例,其中急性腹痛27例,伴恶心、呕吐21例。34例行腹腔镜下患侧附件切除术,9例行腹腔镜下患侧卵巢囊肿剥出术。所有病例均在腹腔镜下顺利完成手术治疗,平均手术时间65.0±16.5分钟,术中出血2~150ml,中位出血量10ml,无术时术后并发症发生。术后病理诊断卵巢成熟性畸胎瘤34例(79.1%),卵巢单纯囊肿3例(7
2、.0%),卵巢粘液性囊腺瘤2例(4.7%),卵巢甲状腺肿1例(2.3%),卵巢巧克力囊肿1例(2.3%),副中肾管源性囊肿(卵巢冠囊肿)1例(2.3%),组织出血梗死不能辨认1例(2.3%)。术后平均肛门排气时间27.3±11.4小时,术后平均放置尿管时间11.2±9.5小时,术后平均住院时间4.2±1.3天。结论:腹腔镜诊治卵巢囊肿蒂扭转具有及时准确、创伤小、出血少、术后恢复快等优点.【关键词】 腹腔镜手术;卵巢囊肿;蒂扭转【Abstract】 Objective:Toevaluatetheclinicalefficiencyoflaparoscopicsurgeryi
3、nthetreatmentofpedicletorsionofovariancyst.Methods:Aretrospectivelyanalysiswascarriedoutin43caseswithpedicletorsionofovariancystandtreatedbylaparoscopicsurgeryfromJanuary2001toOctober2008inourhospital.Results:Themeanageofthe43patientswas26.6years.Forty-onepatientssufferedwithabdominalpain
4、,ofwhich,27caseshadacuteabdominalpain,and21caseswereaccompaniedwithnauseaandvomiting.Laparoscopicunilateraladnexectomywereperformedin34cases,andlaparoscopicovariancystectomywasin9cases.Alloperationsweredonebylaparoscopewithoutcomplication.Themeanoperationtimewas65.0±16.5min,thevolumeofble
5、edingduringoperationwas2~150mlandthemid-termvolumeofbleedingwas10ml.Nocomplicationwashappenedduringorafteroperation.Inthepost-operatiyepathologicexamination,34(79.1%)caseswerediagnosedasmaturedteratomas,and3(7.0%)wassimplecysts,2(4.7%)wasmucinouscystadenoma,1(2.3%)wasstrumaovarii,1(2.3%)w
6、aschocolatecystand1(2.3%)wasmulleriancyst.One(2.3%)casewasnotidentifiedbecauseofhemorrhageandinfarction.Themeanre-sumetimeofdigestivesystemandbladderwas27.3±11.4hoursand11.2±9.5hoursrespectively.Themeantimeofhospitalizationafteroperationwas4.2±1.3days.Conclusions:Laparoscopicsurgeryshould
7、beusedtodiagnoseandtreatpedicletorsionofovariancystbecauseofitsmicrotrauma,bloodlessandquicklyrecovery.【Keywords】 Laparoscopicsurgery;Ovariancyst;Pedicletorsion为探讨卵巢囊肿蒂扭转的临床特点及腹腔镜手术的诊疗价值,本文就在我院经腹腔镜诊治的43例卵巢囊肿蒂扭转患者的临床资料进行回顾性分析,报道如下.locatedintheTomb,DongShenJiabang,def
