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中孕期腹腔镜卵巢手术30例临床特点

彭萍 朱兰 郎景和 刘珠凤 孙大为 冷金花

彭萍, 朱兰, 郎景和, 刘珠凤, 孙大为, 冷金花. 中孕期腹腔镜卵巢手术30例临床特点[J]. 协和医学杂志, 2015, 6(3): 202-205. doi: 10.3969/j.issn.1674-9081.2015.03.008
引用本文: 彭萍, 朱兰, 郎景和, 刘珠凤, 孙大为, 冷金花. 中孕期腹腔镜卵巢手术30例临床特点[J]. 协和医学杂志, 2015, 6(3): 202-205. doi: 10.3969/j.issn.1674-9081.2015.03.008
Ping PENG, Lan ZHU, Jing-he LANG, Zhu-feng LIU, Da-wei SUN, Jin-hua LENG. Clinical Characteristics of 30 Cases of Laparoscopic Surgery for Ovarian Cysts in Second Trimester[J]. Medical Journal of Peking Union Medical College Hospital, 2015, 6(3): 202-205. doi: 10.3969/j.issn.1674-9081.2015.03.008
Citation: Ping PENG, Lan ZHU, Jing-he LANG, Zhu-feng LIU, Da-wei SUN, Jin-hua LENG. Clinical Characteristics of 30 Cases of Laparoscopic Surgery for Ovarian Cysts in Second Trimester[J]. Medical Journal of Peking Union Medical College Hospital, 2015, 6(3): 202-205. doi: 10.3969/j.issn.1674-9081.2015.03.008

中孕期腹腔镜卵巢手术30例临床特点

doi: 10.3969/j.issn.1674-9081.2015.03.008
详细信息
    通讯作者:

    朱兰 电话:010-69156238, E-mail:zhu_julie@vip.sina.com

  • 中图分类号: R713.6

Clinical Characteristics of 30 Cases of Laparoscopic Surgery for Ovarian Cysts in Second Trimester

More Information
  • 摘要:   目的  探讨中孕期腹腔镜卵巢手术的特点。  方法  2002年4月至2013年12月在北京协和医院妇产科行中孕期腹腔镜下卵巢囊肿手术30例, 回顾性分析其临床特点, 并评估手术的可行性及适应证。  结果  30例中孕期腹腔镜卵巢囊肿手术中, 孕妇平均年龄(28.5±3.1)岁, 平均孕周为(14.7±2.5)周, 平均手术时间(50±20)min。平均住院日为(4.5±0.8)d。孕16周及以上患者11例(36.7%), 孕16周以下患者19例(63.3%), 两者手术时间比较差异无统计学意义(P>0.05)。仅5例(16.7%)患者在孕前已知有附件包块。平均卵巢肿瘤直径(9.0±5.4)cm, 包块大于9 cm及以上者12例(40%), 包块小于9 cm者18例(60%), 前者手术时间明显长于后者(P < 0.05)。5例(16.7%)患者因腹痛行急诊手术, 其中2例因卵巢扭转坏死行患侧附件切除术; 28例(93.3%)患者行卵巢囊肿剔除术。术后病理:畸胎瘤18例(60%), 浆液性囊肿6例(20%), 黄体囊肿3例(10%), 黏液性囊腺瘤2例(6.7%), 泡沫纤维瘤1例(3.3%)。有1例(3.3%)患者术后出现宫缩, 经镇痛保胎治疗好转, 无严重术后并发症。26例(86.7%)孕妇足月分娩健康新生儿, 4例(13.3%)失访。  结论  中孕期腹腔镜下卵巢手术对孕妇和胎儿是安全可行的, 手术适应证为持续性附件包块和附件扭转。术中和术后应加强母胎监测。
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出版历程
  • 收稿日期:  2014-04-28
  • 刊出日期:  2015-05-30

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