• 四川大學華西第二醫(yī)院,四川成都 610041;

目的:探討腹腔鏡診治附件包塊的有效性與安全性。方法:回顧性分析四川大學華西第二醫(yī)院2004年1月至2005年12月婦科收治的1356例附件包塊行腹腔鏡治療的病例。結果:手術適應證主要為異位妊娠、卵巢宮內(nèi)膜囊腫及卵巢良性畸胎瘤,手術方式主要為輸卵管造口取胚術、輸卵管切除術、卵巢囊腫剝除術及患側附件切除術,手術成功率98.45%,無嚴重并發(fā)癥發(fā)生。術中發(fā)現(xiàn)可疑病例78例(5.8%),病理檢查提示交界性及低度惡性包塊共9例(0.66%),其中4例在腹腔鏡下完成手術。既往有腹部手術史85例,77例在腹腔鏡下完成手術。結論:腹腔鏡技術在診治婦科良性附件占位方面是安全有效的。

引用本文: 廖治,李莉,高雪梅. 腹腔鏡治療附件包塊1356例臨床分析. 華西醫(yī)學, 2008, 23(1): 70-71. doi: 復制

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  2. 2. Padilla LA,Radosevich DM,Milad MP.Limitations of the pelvic examination for evaluation of the female pelvic organs[J].Int J Gynaecol Obstet,2005,88:84-88.
  3. 3. Marana R,Muzii L,Ferrari S,et al.Management of adnexal cystic masses with unexpected intracystic vegetations detected during laparoscopy[J].J Minim Invasive Gynecol,2005,12:502-507.
  4. 4. Liakakos T,Thomakos N,Fine P M,et al.Peritoneal adhesions etiology,patho-physiology,and clinical significance.Recent advances in prevention and management[J].Dig Surg,2001,18:260-273.
  5. 5. 夏恩蘭.婦科內(nèi)鏡的發(fā)展及臨床應用[J].中華婦產(chǎn)科雜志,2003,38:502-505.
  6. 6. 周應芳.腹腔鏡應用范圍變化及發(fā)展趨勢[J].中國實用婦科與產(chǎn)科雜志,2003,19:648-650.
  7. 7. 李奇龍.腹腔鏡手術治療婦科惡性腫瘤的適應證與并發(fā)癥[J].中華婦產(chǎn)科雜志,2005,40:499-501.