论文部分内容阅读
目的:研究腹腔镜巨大卵巢囊肿剥除术中处理残留卵巢的改良方法,评价此法对卵巢功能的影响。方法:2004年6月～2010年4月对30例巨大卵巢囊肿患者采用腹腔镜卵巢囊肿剥除术,先刺破囊肿、吸净囊液,再剥除囊壁、及时电凝创面,最后行残留卵巢连续聚合缝合+订书式缝合,选择30例同期行腹腔镜巨大卵巢囊肿剥除术常规间断缝合残留卵巢的患者作为对照组。结果:全部患者均顺利完成手术,术中未发生任何并发症,实验组的平均手术时间(75.8±8.9)min,术中平均出血量(36.5±8.7)ml,均少于对照组(P<0.05);两组患者手术前后各项性激素无统计学差异(P>0.05)。结论:腹腔镜手术治疗巨大卵巢囊肿安全可行,运用改良法处理残留卵巢不但可以简化手术操作、缩短手术时间、减少术中出血,而且不影响卵巢功能,有较大的临床应用和推广价值。
OBJECTIVE: To study the improved method of treating residual ovary during laparoscopic huge ovarian cyst extirpation and to evaluate its effect on ovarian function. Methods: From June 2004 to April 2010, 30 patients with giant ovarian cysts were treated with laparoscopic ovarian cyst excision. The cyst was first punctured and the cyst fluid was taken. The wall of the capsule was removed and the wound surface was electrocoagulated in time. Finally, Residual ovary continuous polymerization suture + stapled suture, select the same period of 30 cases of laparoscopic giant ovarian cyst removal conventional interrupted suture residual ovarian patients as a control group. Results: All the patients completed the operation successfully without any complications during the operation. The average operation time (75.8 ± 8.9) min and the average intraoperative blood loss (36.5 ± 8.7) ml in the experimental group were less than those in the control group (P < 0.05). There was no significant difference in sex hormones between the two groups before and after surgery (P> 0.05). Conclusion: Laparoscopic surgery for the treatment of giant ovarian cysts is safe and feasible. Using modified method to treat residual ovary can not only simplify the operation, shorten the operation time, reduce the intraoperative bleeding, but also not affect the ovarian function, which has great clinical application and promotion value.