腹腔镜手术治疗妊娠合并附件囊肿扭转12例分析-《中国微创外科杂志》

文章信息/Info

Title:: Laparoscopic procedures for adnexal cyst torsion in pregnant women: An analysis of 12 cases

Author(s):: WuDeming. Gynecology; Pizhou People’sHospital; Pizhou221300; China; Department ofObstetrics& Gynecology, Pizhou People’sHospital, Pizhou221300, China

摘要:: 目的探讨孕期腹腔镜手术的可行性. 方法对1997～2002年应用腹腔镜手术治疗的12例妊娠合并附件肿物急腹症病例进行回顾性分析. 结果 12例均经腹腔镜手术诊断为妊娠合并附件肿物扭转或坏死,实施了扭转附件复位卵巢冠囊肿剥除术2例,肿瘤剥除术3例,附件切除术7例,均治愈.未发生流产及胎儿畸形,随访11名婴儿8～12个月,发育正常.结论孕期腹腔镜手术属于相对禁忌证,选择性使用疗效满意.

Abstract:: Objective　To evaluate the feasibility of laparoscopic procedures in pregnant women.　Methods　A retrospective analysis was made on 12 pregnantwomen with an acute abdominal emergency resulted from adnexal mass from 1997 to 2002.Results　All the 12 patients were laparoscopically diagnosed as having pregnancy associated with torsion or necrosis of adnexal mass. There were 2 cases of unwinding of the twisted fallopian tube and oophorocystectomy, 3 cases of oophorocystectomy, and 7 cases of adnexectomy. All the patients were cured. No miscarriage or infant malformation happened. Follow-up for 8~12 months in 11 infants revealed normal development.　 Conclusions　In pregnant patients the laparoscopic procedure is relatively contraindicated. Satisfactory curative effects can be obtained if the patients are properly selected.