腹腔镜手术治疗妊娠期卵巢良性肿瘤16例临床分析

发布时间：2018-04-25 23:38

本文选题：妊娠 + 卵巢良性肿瘤　；参考：《中国内镜杂志》2015年01期

【摘要】：目的探讨腹腔镜手术治疗妊娠期卵巢良性肿瘤的临床价值。方法回顾性分析该院2003年11月-2013年10月16例妊娠期卵巢良性肿瘤的临床资料。患者均为单胎妊娠,平均年龄(28.0±5.1)岁,手术孕周为7~23周,其中,孕早期5例,孕中期11例,4例患者合并蒂扭转,其余12例均为产检时超声发现,卵巢肿瘤均为单侧,平均直径为(121.5±59.6)mm。结果所有患者均成功施行腹腔镜手术,无1例中转开腹及发生围术期并发症。6例行腹腔镜患侧附件切除术;10例行腹腔镜卵巢肿瘤剥除术,其中1例同时行卵巢肿瘤蒂扭转复位,2例同时行盆腔粘连松解术,术后病理均证实为良性。手术时间30~165 min,术中出血(32.1±5.6)ml,术后排气时间(19.6±3.2)h,术后住院(5.3±1.7)d。术后2例患者孕早期放弃妊娠,2例继续围产期保健,其余12例均已足月分娩,新生儿出生后Apgar评分均为9~10分,出生体重2 650~3 700 g。经电话随访,已分娩者后代的运动和智力发育均无明显异常,年龄最大者为6岁。结论腹腔镜手术诊治妊娠期卵巢良性肿瘤是安全有效的,不影响妊娠结局。
[Abstract]:Objective to evaluate the clinical value of laparoscopic surgery in the treatment of benign ovarian neoplasms during pregnancy. Methods the clinical data of 16 cases of benign ovarian tumor during pregnancy from November 2003 to October 2013 were retrospectively analyzed. All the patients were single pregnancy with an average age of 28.0 卤5.1 years. The mean gestational age was 723 weeks. Among them, 5 cases were in the early pregnancy, 4 cases in the second trimester with pedicle torsion, and 12 cases were found to have unilateral ovarian tumors with an average diameter of 121.5 卤59.6 mm. Results Laparoscopic surgery was performed successfully in all the patients. There was no conversion to laparotomy or complications in perioperative period. 6 cases underwent laparoscopic appendectomy and 10 cases underwent laparoscopic ovarian tumor excision. One case was treated with ovarian tumor pedicle torsion reduction and 2 cases were treated with pelvic adhesion release simultaneously, which were confirmed as benign by postoperative pathology. The operative time was 30 ~ 165min, the bleeding was 32.1 卤5.6ml, the postoperative exhaust time was 19.6 卤3.2h. the postoperative hospitalization was 5.3 卤1.7h. After operation, 2 cases gave up pregnancy and 2 cases continued perinatal health care. The other 12 cases were given full term delivery. The Apgar scores of newborns were 9 ~ 10 and birth weight was 2 650 ~ 3 700 g. After telephone follow-up, there were no obvious abnormalities in motor and intellectual development of the offspring, the oldest being 6 years old. Conclusion Laparoscopic surgery is safe and effective in the diagnosis and treatment of benign ovarian neoplasms in pregnancy.
【作者单位】：南方医科大学珠江医院妇产科;
【分类号】：R737.31

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