腹腔镜下卵巢囊肿扭转保留卵巢手术的临床分析

摘要

Objective To explore the clinical features and efficacy of laparoscopic restoration of torsed varian cysts and then removal of the cysts following ligation of ovarian veins.Methods We analyzed the clinical data on 38 women who had been hospitalized and had received laparoscopic surgery for torsion of ovarian cysts with ovarian preservation during the period of May 2007 to May 2011.Results The time period from the onset of ovarian cyst torsion to the beginning of surgical treament was 4 to 72 hours.After the laparoscopic surgery,the blood supply,shape,and endocrine function of the ovary were rapidly restored.Four of the women were successfully pregnant and finally gave birth.Conclusions Laparoscopic restoration of torsed varian cysts and then removal of the cysts following ligation of ovarian veins is a less invasive,simple,feasible,safe,effective procedure.It is worth trying in clinical practice.%目的 探讨通过腹腔镜结扎卵巢静脉后,予卵巢囊肿复位并剔除的手术方式治疗卵巢囊肿扭转的临床特点及疗效.方法 对2007年5月-2011年5月在我院住院的38例经上述手术方式保留卵巢囊肿扭转的患者的临床资料进行分析.结果 38例患者发病时间4～72小时,应用上述手术方式保留卵巢后,其血流、形态、内分泌等情况恢复快,8例患者成功妊娠并分娩.结论 经腹腔镜下结扎卵巢静脉后,予卵巢囊肿复位并剔除的手术方式治疗卵巢囊肿扭转创伤少、恢复快、简单、易行、安全、有效,值得临床尝试.