临床医药实践
臨床醫藥實踐
림상의약실천
Proceeding of Clinical Medicine
2015年
10期
747-748
,共2页
巨大附件包块%腹腔镜%囊肿剥除
巨大附件包塊%腹腔鏡%囊腫剝除
거대부건포괴%복강경%낭종박제
huge attachments mass%laparoscopic%cyst stripping
目的：探讨巨大附件囊性包块的腹腔镜手术治疗疗效。方法：回顾分析2012年12月—2014年12月30例附件巨大囊肿患者的临床资料，均实施腹腔镜囊肿剥除手术，囊肿直径≥10 cm，最大直径22 cm，综合考虑为良性肿块，包块周围无明显粘连。结果：30例患者成功实施手术，手术时间（45.1±7.1）min，术中失血量（38.3±11.4）mL，住院时间（4.6±0.7）d。术后病理提示单纯性卵巢囊肿8例，卵巢冠囊肿3例，成熟性卵巢畸胎瘤4例，浆液性卵巢囊肿8例，子宫内膜异位症囊肿5例，输卵管系膜囊肿2例，术后半年复查无复发病例。结论：巨大附件囊性包块在全面评估并排除恶变及明显粘连的情况下，选择腹腔镜手术可以作为较为安全的手术术式，但需严格选择病例，不断加强术者手术技巧。
目的：探討巨大附件囊性包塊的腹腔鏡手術治療療效。方法：迴顧分析2012年12月—2014年12月30例附件巨大囊腫患者的臨床資料，均實施腹腔鏡囊腫剝除手術，囊腫直徑≥10 cm，最大直徑22 cm，綜閤攷慮為良性腫塊，包塊週圍無明顯粘連。結果：30例患者成功實施手術，手術時間（45.1±7.1）min，術中失血量（38.3±11.4）mL，住院時間（4.6±0.7）d。術後病理提示單純性卵巢囊腫8例，卵巢冠囊腫3例，成熟性卵巢畸胎瘤4例，漿液性卵巢囊腫8例，子宮內膜異位癥囊腫5例，輸卵管繫膜囊腫2例，術後半年複查無複髮病例。結論：巨大附件囊性包塊在全麵評估併排除噁變及明顯粘連的情況下，選擇腹腔鏡手術可以作為較為安全的手術術式，但需嚴格選擇病例，不斷加彊術者手術技巧。
목적：탐토거대부건낭성포괴적복강경수술치료료효。방법：회고분석2012년12월—2014년12월30례부건거대낭종환자적림상자료，균실시복강경낭종박제수술，낭종직경≥10 cm，최대직경22 cm，종합고필위량성종괴，포괴주위무명현점련。결과：30례환자성공실시수술，수술시간（45.1±7.1）min，술중실혈량（38.3±11.4）mL，주원시간（4.6±0.7）d。술후병리제시단순성란소낭종8례，란소관낭종3례，성숙성란소기태류4례，장액성란소낭종8례，자궁내막이위증낭종5례，수란관계막낭종2례，술후반년복사무복발병례。결론：거대부건낭성포괴재전면평고병배제악변급명현점련적정황하，선택복강경수술가이작위교위안전적수술술식，단수엄격선택병례，불단가강술자수술기교。
Objective:To explore the laparoscopic surgery in casees of the huge attachment cysticmass. Methods:The clin-ical data at 30 patients about huge attachment cystic mass was retrospectively analyzed from 2012 December to 2014 Decem-ber,all cases were performed laparoscopic cystectomy operation,these cysts diameter ≥10 cm,the maximum diameter at 22 cm,and the cysts were considered for benign tumormass,no obvious adhesion to surrounding tissue. Results:Thirty patients were successfully implemented operation,the average operation time was(45. 1 ± 7. 1)min,average operation blood loss was (38. 3 ± 11. 4)mL,and the average hospitalization days were(4. 6 ± 0. 7)d. The pathological report included 8 cases of sim-ple ovarian cyst,3 cases of parovarian cyst,4 cases of mature teratoma,and 8 serous ovarian cyst,5 cases of endometriosis cyst, 2 cases of the mesosalpinx cyst,no recurrence case in follow - up after operation six months. Conclusion:Through the compre-hensive evaluation and the exclusion of malignancy and obvious adhesions,the huge attachment cystic mass cases may choose the laparoscopic operation for a safe operation type,but the operation should be rigorously selected cases,and continuously strengthen the operation skill.
