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近年来子宫内膜异位症发病率不断增高,其中以卵巢内膜囊肿更为明显,且患者年龄亦较轻。为保留卵巢功能,采用保守手术治疗,以期达到降低复发率,提高妊娠率的目的,我院自1973～1983年底收入院的卵巢内膜囊肿有73例,对其中施行手术、年龄<40岁者进行随访,至1987年9月共随访了40例。现将随访结果作一报道。临床资料 40例均经剖腹探查术及病理检查证实为卵巢内膜囊肿,直径为6～10cm。按Aoosta等分类均属重度。手术方式:一侧附件切除20例;一侧附件切除加另一侧囊肿剥离14例;双侧内膜囊肿剥离3例;一侧内膜囊肿剥离2例;一侧附件切除加另一侧囊肿囊液抽出1例,其中5例同时行另一侧输卵管结扎术。手术同时作盆腔粘连分离及腹腔冲洗。 40例中因囊肿破裂而急症手术的有9例,其中5例外科曾误诊为阑尾穿孔,于术中转本科处理。
In recent years, the incidence of endometriosis increasing, including ovarian endometrial cyst is more obvious, and the patient’s age is also lighter. In order to preserve ovarian function, conservative surgery was used in order to reduce the recurrence rate and improve the pregnancy rate. In our hospital, 73 cases of ovarian endometrial cysts were hospitalized from the end of 1973 to the end of 1983, and those under 40 years of age Follow-up, to September 1987 a total of 40 cases were followed up. Now follow-up results for a report. 40 cases of clinical data were confirmed by laparotomy and pathological examination of ovarian endometrial cysts, a diameter of 6 ~ 10cm. By Aoosta and other categories are heavy. Surgical methods: one side of the attachment resection in 20 cases; one side of the attachment resection plus the other side of the cyst stripped in 14 cases; bilateral endometrial stroma in 3 cases; one side of the endometrial stroma in 2 cases; one side of the attachment resection plus the other side of the cyst Cyst fluid extraction in 1 case, of which 5 cases at the same time the other side of tubal ligation. At the same time for pelvic surgery and pelvic adhesions separation and irrigation. In 40 cases of cyst rupture and emergency surgery in 9 cases, of which 5 cases had surgery misdiagnosed as appendix perforation, undergraduate surgery.