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目的探讨腹腔镜在卵巢囊肿中的应用。方法全部用连续硬膜外麻醉,患者取仰卧位。在脐孔正中上缘或下缘切开皮肤1cm,先插入气腹针,充入二氧化碳气体达12mmHg,再插入套管,由套管放入腔镜。分别于左侧麦氏点和与脐孔连线中点向外上1cm处无血管区切开皮肤0.5cm、1.0cm,插入套管由此两套管进行手术操作。结果70例患者手术全部在腹腔镜下完成,无1例中转开腹。手术时间28～120min,平均74min。术中出血30～90mL,平均60ml。术后恢复肛门排气时间15～26h,平均20.5h。术后出现上腹胀痛6例,给予吸氧,早期下床活动后,1～3d后缓解。术后住院2～6d,平均4d。术后随访1～3个月,无1例并发症发生。结论腹腔镜手术治疗卵巢囊肿是目前妇科需要广泛应用的一种最佳术式,值得推广。
Objective To explore the application of laparoscopy in ovarian cysts. Methods All with continuous epidural anesthesia, supine patients. In the middle of the umbilicus in the middle of the upper or lower incision skin 1cm, first into the pneumoperitoneum needle, filled with carbon dioxide gas up to 12mmHg, and then inserted into the casing, the tube into the endoscopic. Respectively, on the left side of the Maxwell point and midpoint connected with the umbilicus outward 1cm at no vascular area cut the skin 0.5cm, 1.0cm, the cannula inserted into the two surgical procedures. Results All the 70 patients underwent laparoscopic surgery. None of the patients underwent laparotomy. Surgery time 28 ~ 120min, an average of 74min. Intraoperative bleeding 30 ~ 90mL, an average of 60ml. Postoperative anal exhaust time 15 ~ 26h, an average of 20.5h. Postoperative abdominal pain in 6 cases, given oxygen, early ambulation, 1 ~ 3d after remission. Postoperative hospital 2 ~ 6d, an average of 4d. Follow-up 1 to 3 months after operation, none of the complications occurred. Conclusion Laparoscopic surgery for ovarian cysts is currently the most widely used gynecological surgery, worth promoting.