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目的观察腹腔镜辅助下经阴道手术治疗卵巢囊肿的临床效果。方法回顾分析腹腔镜辅助下经阴道手术治疗卵巢囊肿82例的临床资料。结果本组80例手术顺利,2例中转开腹。平均手术时间(37.5±16.1)mim,出血量(15.1±5.5)ml,无1例邻近脏器损伤。术后疼痛0级71例,Ⅰ级11例,均无需镇痛。术后恢复良好,1月后复诊,阴道切口愈合良好,无手术并发症。患者满意度为96.7%。结论在腹腔镜辅助下,为经阴道成功手术治疗卵巢囊肿提供了更广阔的视野和更清晰的操作空间,杜绝了误诊误治以及副损伤,保障了手术的安全性。又避免了腹腔镜手术治疗卵巢囊肿术中可能发生囊腔破裂,囊内容物污染盆腔的问题。
Objective To observe the clinical effect of laparoscopic assisted transvaginal surgery for ovarian cysts. Methods The clinical data of 82 cases of ovarian cyst treated by laparoscopic assisted vaginal surgery were retrospectively analyzed. Results 80 cases of surgery in this group smoothly, 2 cases of laparotomy. The mean operation time was (37.5 ± 16.1) mim and the amount of bleeding was (15.1 ± 5.5) ml. There was no one case of adjacent organ injury. Postoperative pain 0 grade 71 cases, Ⅰ grade 11 cases, no pain relief. Postoperative recovery was good, 1 month after the referral, vaginal incision healed well, no surgical complications. Patient satisfaction was 96.7%. Conclusion With the help of laparoscope, the transvaginal surgical treatment of ovarian cysts provides a broader field of vision and a clearer operating space, eliminating the need for misdiagnosis and side effects and ensuring the safety of the operation. Avoid the laparoscopic surgery for ovarian cyst may occur in the rupture of the cyst, the contents of the pelvic contamination of the pelvic problems.