【摘要】 目的 探讨腹腔镜联合左下腹小切口在巨大卵巢囊肿手术临床应用中的安全性及可行性。方法 回顾性分析2012年1月至2019年12月在武汉市第一医院妇产科因巨大卵巢囊肿行手术治疗的75例患者的临床资料，其中40例采用腹腔镜联合左下腹小切口方法手术（研究组），35例采用常规腹腔镜方法手术（对照组），比较分析两组患者手术时间、术中出血量、囊肿囊液外溢率、术后排气时间、首次离床活动时间、术后住院时间、术中和术后并发症等情况。结果 研究组患者囊肿囊液外溢率明显低于对照组（P=0.02）；研究组术后排气时间、首次离床活动时间、术后住院时间、术中出血量与对照组比较，差异均无统计学意义（均P>0.05）。两组患者术中均未出现输尿管及盆腔大血管损伤等并发症；研究组患者术后出现2例皮下气肿，对照组患者术后出现5例皮下气肿、1例肠系膜血肿、2例胃肠道的损伤，术后并发症发生率研究组明显低于对照组（P=0.04）。结论 腹腔镜联合左下腹小切口在巨大卵巢囊肿治疗中较常规腹腔镜组囊肿囊液外溢率低、并发症发生率低，初步证实了该方法在妇科临床应用的可行性。更多还原

【Abstract】 Objective To explore the safety and feasibility of applying laparoscopy combined with small left lower abdominal incision in the clinical operation of giant ovarian cyst.Methods The clinical data of 75 patients with giant ovarian cysts receiving operations in the First Hospital of Wuhan from January 2012 to December 2019 were retrospectively analyzed.Among them,the experimental group included 40 patients who underwent laparoscopic surgery combined small left lower abdominal small incision for giant ovarian cysts,and the control group included 35 patients undergoing conventional laparoscopic surgery for giant ovarian cysts.The operation time,intraoperative blood loss,cyst fluid leakage rate,postoperative exhaust time,first ambulation time,intraoperative and postoperative complications,and postoperative hospital stay were analyzed and compared between the two groups.Results The cyst fluid leakage rate in the experimental group was significantly lower than that in the control group.There was no statistical difference in the postoperative exhaust time,first ambulation time,postoperative hospital stay,or intraoperative blood loss between the the two groups.Two cases of subcutaneous emphysema occurred in the experimental group,while 5 cases of subcutaneous emphysema,1 case of mesenteric hematoma and 2 cases of gastrointestinal wall injury occurred in the control group.The complication rate in the experimental group was significantly lower than that in the control group.Conclusion Laparoscopy combined with small left lower abdominal incision in the treatment of giant ovarian cysts has a lower cyst fluid leakage rate and lower complication rate,which preliminarily confirms the feasibility of this method in gynecological clinical application.更多还原