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目的探讨无气腹皮下悬吊式腹腔镜在妊娠合并附件囊肿手术中的可行性和安全性。方法对10例妊娠合并附件囊肿患者(悬吊组)施行无气腹皮下悬吊式腹腔镜诊断和手术治疗,并与同期接受剖腹手术的15例患者(剖腹组)的手术情况和妊娠结局进行对比分析。结果悬吊组患者在手术时间、术中出血量、术后排气时间、术后导尿管留置时间和术后住院日上均明显优于剖腹组(P<0.05),两组在流产和早产的发生率上差异无统计学意义。结论妊娠期应用悬吊式腹腔镜手术治疗附件囊肿,手术创伤小,术后恢复快,住院时间短,手术操作方便、安全,在妇产科手术中可推广应用。
Objective To investigate the feasibility and safety of a pneumoperitoneum pendant-less laparoscopy in cyst surgery with annex. Methods A total of 10 cases of pregnancy with cyst attachment (suspension group) underwent pneumoperitoneum without pneumoperitoneal laparoscopic diagnosis and surgical treatment, and with the same period undergoing laparotomy in 15 patients (laparotomy) surgery and pregnancy outcome Comparative analysis. Results The patients in the suspension group were significantly better than the cesarean section in operation time, intraoperative blood loss, postoperative exhaust time, postoperative catheter indwelling time and postoperative hospital stay (P <0.05) There was no significant difference in the incidence of prematurity. Conclusions The application of pendant laparoscopic surgery in the treatment of appendicular cyst during pregnancy is characterized by small trauma, rapid recovery after operation, short hospital stay, convenient and safe operation, and wide application in obstetrics and gynecology.