妇产与遗传（电子版）
婦產與遺傳（電子版）
부산여유전（전자판）
Obstetrics-Gynecology and Genetics(Electronic Edition)
2014年
2期
18-20
,共3页
腹腔镜手术%妊娠%盆腔包块
腹腔鏡手術%妊娠%盆腔包塊
복강경수술%임신%분강포괴
Laparoscopic surgery%pregnancy%adnexal mass
目的：探讨应用腹腔镜手术治疗妊娠中期合并盆腔包块的手术效果及安全性。方法回顾性分析2007年1月至2012年7月间广东医学院附属厚街医院与广东省人民医院妇科共对39例妊娠中期（孕13~22周）合并盆腔包块行腹腔镜手术的孕妇临床资料，对妊娠中期腹腔镜手术情况及妊娠结局进行分析。结果39例妊娠中期合并盆腔包块的孕妇成功接受了腹腔镜手术，其中31例行卵巢囊肿剥除术，8例患者因蒂扭转导致不可逆性坏死行患侧附件切除术。术后病理结果均为良性病变。平均手术时间68 min，平均出血量43 ml。术后平均肛门排气时间13.5 h，术后平均住院日4.2 d。除1例因为胎儿原因引产外，余均足月分娩。新生儿均无畸形。结论对妊娠中期合并盆腔包块的孕妇行腹腔镜手术具有出血少、手术时间及住院时间短、安全可行的优势，是对盆腔良性肿块的妊娠中期孕妇可供参考的手术方法。
目的：探討應用腹腔鏡手術治療妊娠中期閤併盆腔包塊的手術效果及安全性。方法迴顧性分析2007年1月至2012年7月間廣東醫學院附屬厚街醫院與廣東省人民醫院婦科共對39例妊娠中期（孕13~22週）閤併盆腔包塊行腹腔鏡手術的孕婦臨床資料，對妊娠中期腹腔鏡手術情況及妊娠結跼進行分析。結果39例妊娠中期閤併盆腔包塊的孕婦成功接受瞭腹腔鏡手術，其中31例行卵巢囊腫剝除術，8例患者因蒂扭轉導緻不可逆性壞死行患側附件切除術。術後病理結果均為良性病變。平均手術時間68 min，平均齣血量43 ml。術後平均肛門排氣時間13.5 h，術後平均住院日4.2 d。除1例因為胎兒原因引產外，餘均足月分娩。新生兒均無畸形。結論對妊娠中期閤併盆腔包塊的孕婦行腹腔鏡手術具有齣血少、手術時間及住院時間短、安全可行的優勢，是對盆腔良性腫塊的妊娠中期孕婦可供參攷的手術方法。
목적：탐토응용복강경수술치료임신중기합병분강포괴적수술효과급안전성。방법회고성분석2007년1월지2012년7월간엄동의학원부속후가의원여광동성인민의원부과공대39례임신중기（잉13~22주）합병분강포괴행복강경수술적잉부림상자료，대임신중기복강경수술정황급임신결국진행분석。결과39례임신중기합병분강포괴적잉부성공접수료복강경수술，기중31례행란소낭종박제술，8례환자인체뉴전도치불가역성배사행환측부건절제술。술후병리결과균위량성병변。평균수술시간68 min，평균출혈량43 ml。술후평균항문배기시간13.5 h，술후평균주원일4.2 d。제1례인위태인원인인산외，여균족월분면。신생인균무기형。결론대임신중기합병분강포괴적잉부행복강경수술구유출혈소、수술시간급주원시간단、안전가행적우세，시대분강량성종괴적임신중기잉부가공삼고적수술방법。
Objective To investigate the efficacy and safety of laparoscopic surgery in second trimester among pregnant women(12~22 w) with pelvic mass. Method The clinical data, surgery conditions and pregnancy outcomes of 39 pregnant women in second trimester with pelvic mass who were treated in the Houjie Hospital of Guangdong Medical College and the Guangdong General Hospital from January 2007 to July 2012 were retrospectively analyzed. Results All of thecases accepted laparoscopic surgery successfully.31 cases undergone laparoscopic oophorocystectomy and 8 cases undergone oophorectomy in involved side on account .of irreversible necrosis caused by torsion of the pedicle. The average operative time was 37min, the average amount of bleeding was 43ml, the average postoperative anal exhaust time was 13.5h and the average postoperative hospital stay were 4.2 days. Except one case of abortion because the fetus reason, the remainder were full-term delivery, and there were no abnormal newborn. Conclusions Laparoscopic surgery for the second trimester among pregnant women with pelvic mass has the advantage of less bleeding, shorter operation time, shorter hospital stay and safe operation, it’s a preferred surgical method.
