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目的探讨青少年巨大卵巢囊肿腹腔镜辅助小切口卵巢囊肿剔除手术方法。方法 3例年龄14岁以下巨大卵巢囊肿患者,囊肿直径15~24cm,均在腹腔镜辅助下手术,依囊肿部位经左侧或右侧用套管穿刺针(Trocar)刺入囊腔,抽出囊液后,将囊肿侧皮肤切口扩大至2.5cm,在一次性切口牵开固定器保护下,将患侧附件牵出体外进行囊肿剥除、重建卵巢等操作。结果 3例巨大卵巢囊肿均经腹腔镜辅助小切口顺利完成手术,囊肿剥离完整,术中无囊液外漏,无中转开腹病例;手术时间45~110min。结论腹腔镜辅助小切口治疗青少年巨大卵巢囊肿简单易行,安全、有效。
Objective To explore the method of laparoscopic assisted small incision ovarian cyst excision for adolescent giant ovarian cysts. Methods A total of 3 patients with giant ovarian cysts under 14 years of age were enrolled. The cysts were 15-24 cm in diameter. All patients underwent laparoscopic surgery. The cysts were punctured into the cysts through the left or the right with the Trocar puncture needle. Liquid, the side of the cyst skin incision expanded to 2.5cm, in a one-time incision retractor fixation, the ipsilateral attachment pull out the body for cyst removal, ovarian reconstruction and other operations. Results Three cases of giant ovarian cysts were successfully completed by laparoscopic assisted small incision. The cyst was completely stripped. No cystic fluid leakage and no laparotomy were performed during the operation. The operation time was 45-110 minutes. Conclusion Laparoscopic assisted small incision treatment of adolescent giant ovarian cysts is simple, safe and effective.