摘要
目的总结32例卵巢肿瘤蒂扭转患者的临床资料和腹腔镜下复位保留卵巢手术处理结果,探讨卵巢肿瘤蒂扭转腹腔镜下保留卵巢手术的可行性。方法32例患者,均以腹部疼痛就诊,均进行妇科检查及超声检查,并及时行腹腔镜探查术,术中先将扭转的肿瘤复位,再根据卵巢组织缺血情况,分别给予温盐水冲洗、浸泡,切开吸出凝血块等处理后剥离肿瘤并送快速病理检查。结果32例患者均证实为卵巢良性肿瘤蒂扭转,均顺利完成手术,平均手术时间50±23min,平均出血量30±16ml,术后无1例发生栓塞。10例患者随访7～36个月,其中9例卵巢功能恢复正常。结论卵巢肿瘤蒂扭转早期诊断,及时行腹腔镜下保留卵巢功能的手术是安全有效的治疗方法。
Objective To explore the possibility of ovarian tumors torsion restoration through laparoscopic management retaining ovarian function combined with 32 cases of patients. Methods 32 cases consulted with abdominal pain in all the patients. Gynecologic examination and ultrasonic examination was performed in all the patients. Three ports were used,the 10mm port of which was inserted below the umbilicus. The next 5mm ports were inserted at the right lower quadrant, 10mm ports were inserted at the left lower quadrant.First, restoration the torsive ovarian tumor, then remove the cyst and eoagulum. Results Ovarian tumors torsion was confirmed by laparoseopie operation in all 32 cases. Laparoscopic restoration and remove the cyst is successfully performed following-up for 7-36 month. None embolism happened, and all the ovarian function are normal. Conclusions It is important to diagnose the Ovarian tumor torsion as early as possible, laparoscopic ovarian tumor restoration to retaining ovarian function is a safe surgery operation.
出处
《中华保健医学杂志》
2009年第2期117-118,共2页
Chinese Journal of Health Care and Medicine
关键词
卵巢肿瘤蒂扭转
腹腔镜
手术方式
卵巢功能
Ovarian tumors torsion
Laparoscopy
Operation method
Ovarian function
