论文部分内容阅读
目的探讨卵巢囊肿蒂扭转患者腹腔镜下保留卵巢手术的可行性。方法回顾性分析2008年10月至2015年10月18例卵巢囊肿蒂扭转行腹腔镜下保留卵巢手术患者的临床资料,并分析实施腹腔镜保留卵巢手术的相关因素及术后并发症。结果 18例患者均完成了腹腔镜下保留卵巢手术,卵巢肿瘤大小3~7 cm,平均(5.14±2.33)cm,平均蒂扭转时间(36.88±35.34)h,平均蒂扭转度数(268.82±132.57)°,术中卵巢外观均未见明显坏死,扭转复位5 min内卵巢色泽恢复正常或者斑块状紫红色。术后无肺栓塞、腹膜炎等并发症发生。术后15例患者完成随访,平均随访时间(10.13±2.18)个月,15例患者均恢复正常月经,术后复查超声卵巢大小2~4 cm,均有卵泡发育及排卵,术后10~22个月妊娠3例,均足月分娩。结论结合患者术前、术中情况选择合适的卵巢囊肿蒂扭转患者行腹腔镜保留卵巢手术是可行的,且创伤小,值得推广。
Objective To investigate the feasibility of laparoscopic ovarian preservation in patients with torsion of ovarian cyst. Methods The clinical data of 18 patients with ovarian cyst torsion undergoing laparoscopic ovarian surgery from October 2008 to October 2015 were analyzed retrospectively. The related factors and postoperative complications of laparoscopic ovarian surgery were analyzed. Results All of the 18 patients underwent laparoscopic ovarian surgery. The ovarian tumor size was 3-7 cm (mean, 5.14 ± 2.33 cm), mean pedicle torsion time (36.88 ± 35.34) h, mean pedicle torsion (268.82 ± 132.57) °, ovarian appearance were no obvious necrosis during operation, the ovaries returned to normal within 5 min after the reduction or plaque purple color. No postoperative pulmonary embolism, peritonitis and other complications. After the operation, 15 patients were followed up for a mean of 10.13 ± 2.18 months. All 15 patients recovered to normal menstruation. After operation, the size of ultrasound ovary was 2 ~ 4 cm. All of them had follicular development and ovulation, Three months of gestation, are full-term delivery. Conclusions It is feasible and feasible to choose laparoscopic ovarian surgery to select suitable ovarian cyst torsion patients with preoperative and intraoperative conditions, and the trauma is small and worthy of promotion.