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腹腔镜下行卵巢囊肿切除术可保持腹壁美观,不遗留大的疤痕,正获得世界性推广,并逐渐取代了经典的剖腹手术,但其可能使卵巢粗糙的内壁暴露,卵巢被膜对合不佳,增加术后卵巢周围粘连的发生率。为此,作者选择了27例17～40岁经双合诊及阴道超声检查确诊为卵巢囊肿的患者,采用腹腔镜和体外显微外科技术相结合的方法进行卵巢囊肿切除。术前检查有腹水,半实性和实性包块,超声检查囊肿内见乳头状物及CA-125大于35IU/ml(疑诊子宫内膜异位症者除外)等疑为恶性肿瘤者除外。腹腔镜检查时找到囊肿后仔细检查盆、腹腔,有无其他肿块、腹膜种植病灶或肿大的淋巴
Laparoscopic ovarian cyst resection can maintain the appearance of the abdominal wall, leaving no major scar, is gaining worldwide promotion, and gradually replaced the classic laparotomy, but it may make the rough ovary wall exposure, poor co-operation of the ovarian capsule, Increase postoperative ovarian adhesions around the incidence. To this end, the authors selected 27 patients aged 17 to 40 years diagnosed as ovarian cysts by double-check and vaginal ultrasonography, and laparoscopic and in vitro microsurgery combined with ovarian cyst excision. Preoperative examination with ascites, semi-solid and solid mass, ultrasound examination of the cyst see papilloma and CA-125 greater than 35IU / ml (suspected of endometriosis, etc.) and other suspected malignant tumors . After laparoscopy to find the cyst after careful examination of the basin, abdominal cavity, with or without other lumps, peritoneal lesions or enlarged lymph nodes