中华妇产科杂志
中華婦產科雜誌
중화부산과잡지
CHINESE JOUNAL OF OBSTETRICS AND GYNECOLOGY
2012年
2期
101-104
,共4页
妊娠并发症,肿瘤%腹腔镜检查%卵巢肿瘤
妊娠併髮癥,腫瘤%腹腔鏡檢查%卵巢腫瘤
임신병발증,종류%복강경검사%란소종류
Pregnancy complications,neoplastic%Laparoscopy%Ovarian neoplasms
目的 探讨妊娠期无气腹腹腔镜手术的可行性、安全性以及治疗效果.方法 回顾性分析2006年8月至2010年8月北京安贞医院妇产科收治的妊娠15～ 24周、卵巢良性肿瘤直径＞5 cm、采取元气腹腹腔镜手术的10例患者的临床资料.观察手术时间、术中出血量、住院时间；胎儿及新生儿情况及术中、术后并发症发生情况.结果 完成卵巢良性肿瘤剔除手术10例,其中成熟畸胎瘤4例、上皮性肿瘤5例、卵巢内异症囊肿1例.平均手术时间(30±5) min；平均术中出血(30±8) ml,平均术后住院时间(6±2)d.患者术前、术中、术后血气分析(pH值分别为:7.42±0.11、7.41±0.18、7.42 ±0.12)、血压[平均动脉压分别为(90.4±3.1)、(90.6±0.7)、(89.7±0.8)mm Hg(1 mm Hg =0.133 kPa)]及心率[(84.0±1.6)、(84.3±1.7)、(82.7±1.1)次]监测结果分别比较,差异均无统计学意义(P均＞0.05).术前、术中、术后监测胎心均在正常范围内.10例患者术中、术后均无并发症发生,且均已妊娠至足月分娩,新生儿出生体质量和Apgar评分未发现异常.结论妊娠期无气腹腹腔镜手术对母胎安全、可行.
目的 探討妊娠期無氣腹腹腔鏡手術的可行性、安全性以及治療效果.方法 迴顧性分析2006年8月至2010年8月北京安貞醫院婦產科收治的妊娠15～ 24週、卵巢良性腫瘤直徑＞5 cm、採取元氣腹腹腔鏡手術的10例患者的臨床資料.觀察手術時間、術中齣血量、住院時間；胎兒及新生兒情況及術中、術後併髮癥髮生情況.結果 完成卵巢良性腫瘤剔除手術10例,其中成熟畸胎瘤4例、上皮性腫瘤5例、卵巢內異癥囊腫1例.平均手術時間(30±5) min；平均術中齣血(30±8) ml,平均術後住院時間(6±2)d.患者術前、術中、術後血氣分析(pH值分彆為:7.42±0.11、7.41±0.18、7.42 ±0.12)、血壓[平均動脈壓分彆為(90.4±3.1)、(90.6±0.7)、(89.7±0.8)mm Hg(1 mm Hg =0.133 kPa)]及心率[(84.0±1.6)、(84.3±1.7)、(82.7±1.1)次]鑑測結果分彆比較,差異均無統計學意義(P均＞0.05).術前、術中、術後鑑測胎心均在正常範圍內.10例患者術中、術後均無併髮癥髮生,且均已妊娠至足月分娩,新生兒齣生體質量和Apgar評分未髮現異常.結論妊娠期無氣腹腹腔鏡手術對母胎安全、可行.
목적 탐토임신기무기복복강경수술적가행성、안전성이급치료효과.방법 회고성분석2006년8월지2010년8월북경안정의원부산과수치적임신15～ 24주、란소량성종류직경＞5 cm、채취원기복복강경수술적10례환자적림상자료.관찰수술시간、술중출혈량、주원시간；태인급신생인정황급술중、술후병발증발생정황.결과 완성란소량성종류척제수술10례,기중성숙기태류4례、상피성종류5례、란소내이증낭종1례.평균수술시간(30±5) min；평균술중출혈(30±8) ml,평균술후주원시간(6±2)d.환자술전、술중、술후혈기분석(pH치분별위:7.42±0.11、7.41±0.18、7.42 ±0.12)、혈압[평균동맥압분별위(90.4±3.1)、(90.6±0.7)、(89.7±0.8)mm Hg(1 mm Hg =0.133 kPa)]급심솔[(84.0±1.6)、(84.3±1.7)、(82.7±1.1)차]감측결과분별비교,차이균무통계학의의(P균＞0.05).술전、술중、술후감측태심균재정상범위내.10례환자술중、술후균무병발증발생,차균이임신지족월분면,신생인출생체질량화Apgar평분미발현이상.결론임신기무기복복강경수술대모태안전、가행.
Objective To investigate the feasibility,safety and effect of gasless laparoscopic surgery used in patients at the second trimester.Methods From Aug.2006 to Aug.2008,the data of 10 cases at gestational 15 - 24 weeks complicated by ovary benign tumors ( the diameters more than 5 cm) undergoing gasless laparoscopic surgery were studied retrospectively.Operation time,bleeding loss,period of hospitalization,the status of fetus and newborn babies,and peri-operative or postoperative complications were observed.Results All 10 cases were treated by gasless laparoscopic surgery,including 4 cases with mature teratoma,5 cases with epithelial tumors and 1 case with ovarian endometrioma.The mean time of surgery was (30 ± 5) minutes,the mean bleeding in the surgery was (30 ± 8) ml,the mean period of in hospitalization was ( 6 ± 2 ) days.The blood gas ( pH:7.42 ± 0.11,7.41 ± 0.18,7.42 ± 0.12 ),blood pressure [ mean arterial pressure (MAP):(90.4 ± 3.1 ),(90.6 ± 0.7 ),( 89.7 ± 0.8) mm Hg( 1 mm Hg =0.133 kPa) ] and heart rates [ ( 84.0 ± 1.6),( 84.3 ± 1.7 ),( 82.7 ± 1.1 ) bpm ] in all cases at pre,peri and postoperative time did not show statistical difference ( P all ＞ 0.05 ).The fetal hearts were all in the normal range preoperative,intraoperative and postoperative time (P ＞ 0.05 ).No perioperative and postoperative complications were observed.All the cases underwent term delivery.Fetal weight and Apgar score did not show abnormality.Conclusion Gasless laparoscopic surgery at the second trimester is feasible and safe to mother and fetus.
