Clinical Analysis of Laparoscopic Procedure in Treatment of 1356Cases of the Adnexal Masses_West China Medical Journal

Authors：

LIAO Zhi , LI Li , GAO Xuemei

Department of Obsterics and Gynecology，West China Second University Hospital,Sichuan University,Chengdu 610041,China;

Corresponding author：

Keywords：

腹腔镜; 附件包块; 适应证; 并发症

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目的：探讨腹腔镜诊治附件包块的有效性与安全性。方法:回顾性分析四川大学华西第二医院2004年1月至2005年12月妇科收治的1356例附件包块行腹腔镜治疗的病例。结果:手术适应证主要为异位妊娠、卵巢宫内膜囊肿及卵巢良性畸胎瘤，手术方式主要为输卵管造口取胚术、输卵管切除术、卵巢囊肿剥除术及患侧附件切除术，手术成功率98.45%,无严重并发症发生。术中发现可疑病例78例（5.8％），病理检查提示交界性及低度恶性包块共9例（0.66％），其中4例在腹腔镜下完成手术。既往有腹部手术史85例，77例在腹腔镜下完成手术。结论：腹腔镜技术在诊治妇科良性附件占位方面是安全有效的。

Citation： LIAO Zhi,LI Li,GAO Xuemei. Clinical Analysis of Laparoscopic Procedure in Treatment of 1356Cases of the Adnexal Masses. West China Medical Journal, 2008, 23(1): 70-71. doi: Copy

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1. Padilla LA,Radosevich DM,Milad MP.Accuracy of the pelvic examination in detecting adnexal masses[J].Obstet Gynecol,2000,96:593-598.
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. 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. 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. 夏恩兰.妇科内镜的发展及临床应用[J].中华妇产科杂志,2003,38:502-505.
6. 周应芳.腹腔镜应用范围变化及发展趋势[J].中国实用妇科与产科杂志,2003,19:648-650.
7. 李奇龙.腹腔镜手术治疗妇科恶性肿瘤的适应证与并发症[J].中华妇产科杂志，2005，40：499-501.

West China Medical Journal

Clinical Analysis of Laparoscopic Procedure in Treatment of 1356Cases of the Adnexal Masses

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