摘要
目的腹腔镜下切除是较重的子宫内膜异位症常用的治疗方法,术后盆腔粘连常影响手术治疗效果。术中卵巢悬吊是一种预防卵巢粘连的简单方法,本文观察腹腔镜手术中临时卵巢悬吊对预防术后卵巢粘连的效果。方法 16例较重的盆腔子宫内膜异位症患者实施手术,术中双侧卵巢均临时悬吊以利于手术,手术结束时,每例患者随机悬吊一侧卵巢,另一侧仅留置腹壁线结作为对照。术后48 h拆除腹壁线,术后3个月应用经阴道超声评估卵巢活动度。结果术后复诊证实11例患者存在卵巢粘连,4例为单侧,7例为双侧。结论较重的盆腔子宫内膜异位症腹腔镜手术时应进行卵巢悬吊。
【Objective】Laparoscopic excision of the disease is frequently carried out for the treatment of severe endometriosis. Pelvic adhesions often develop following surgery and they can compromise the success of treatment. Ovarian suspension is a simple procedure which has been used to facilitate ovarian retraction during surgery for severe pelvic endometriosis. The study aims to assess the effect of temporary ovarian suspension following laparoscopic surgery for severe pelvic endometriosis on the prevalence of post-operative ovarian adhesions.【Methods】16 patients with severe pelvic endometriosis requiring extensive laparoscopic dissection with preservation of the uterus and ovaries. Both ovaries are routinely suspended to the anterior abdominal wall during surgery. At the end of the operation,each participant will be randomised to having only one ovary suspended post-operatively. A new transabdominal suture will be reinserted to act as a placebo. Both sutures will be cut 48 hours after surgery. Three months after surgery, all patients will have a transvaginal ultrasound scan to assess for ovarian mobility. 【Results】Post-operative 11/16 women had evidence of ovarian adhesions on TVS. 4/16 women had unilateral adhesions, while 7/16 women had adhesionsinvolving both ovaries. 【Conclusion】Temporary ovarian suspension should be included into the routine surgical treatment of women with severe pelvic endometriosis.
出处
《中国医学工程》
2015年第8期26-26,28,共2页
China Medical Engineering
关键词
子宫内膜异位症
腹腔镜
卵巢悬吊
卵巢粘连
endometriosis
laparoscopic surgery
ovarian suspension
ovarian adhesions
