摘要
目的:探讨开放性腹腔镜手术在妇科盆腔包块诊断中的临床意义。方法:将2004年1月～2010年2月我院因盆腔包块入院的70例患者,分为:35例采用开放性腹腔镜手术(实验组),35例行剖腹探查术(对照组),比较两组的手术时间、身体创伤、术后恢复及并发症。结果:开放性腹腔镜手术(实验组),手术时间为15～45分钟,手术切口1～1.5cm,住院天数平均4天。剖腹探查术(对照组),手术时间为40～60分钟,手术切口8～10cm,住院天数平均8天。两组术后均无并发症。70例患者中,55例为盆腔结核,7例卵巢癌,1例腹膜恶性间皮瘤,4例输卵管积水,卵巢囊肿蒂扭转3例,冰冻切片,肿瘤确诊后立即手术切除。结论:开放性腹腔镜手术在女性盆腔包块诊断中,具有手术时间短、身体创伤小、愈后快、费用底、并发症少的优点,尤其是怀疑盆腔结核患者,用开放性腹腔镜手术诊断更有价值。
Objective：To explore the open laparoscopic surgery in gynecologic pelvic mass diagnosis of clinical significance.Methods：January 2004～February 2010 in our hospital because of pelvic mass of 70 hospitalized patients,divided into：35 cases of an open laparoscopic surgery （experimental group）,35 routine laparotomy（control group） compare the two groups of operative time,physical trauma,postoperative recovery and complications.Results：The open laparoscopic surgery（experimental group）,operative time was 15～45 minutes,surgical incision 1～1. 5cm,length of hospital stay averaged 4 days.Laparotomy（control group）,operative time was 40～60 minutes,surgical incision 8～10cm, length of hospital stay averaged 8 days.No postoperative complications in both groups.70 cases of patients,55 cases of pelvic tuberculosis,7 cases of ovarian cancer,1 case of malignant peritoneal mesothelioma,four cases of hydrosalpinx,ovarian cyst torsion in 3 cases,frozen sections, tumor resection immediately after diagnosis.Conclusion：The open laparoscopic diagnosis of pelvic mass in women with a shorter operative time, physical trauma,the more quickly later,cost at the end,the advantages of fewer complications.
