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目前妇科手术的一个明显趋势是从剖腹术过渡到腹腔镜检,从摘除器官到保留器官的手术方法。作者报道1985至1987年间手术腹腔镜检诊断和保留器官治疗169例小良性卵巢囊肿和皮样囊肿。经剖腹术或腹腔镜手术取出肿瘤,包括附件摘除、卵巢摘除,或挖出卵巢囊肿,保留并重建残余卵巢。保留器官的全部患者通过双合诊,配合卵巢超声检查,长期监护。 169例良性卵巢囊肿和皮样囊肿中,剖腹术72例(43%),手术腹腔镜检97例(57%)。从剖腹术到手术腹腔镜检有明显升高的趋势,1985年仅
At present, a clear trend of gynecologic surgery is from laparotomy to laparoscopy, from organ removal to organ preservation. The authors report the surgical diagnosis of laparoscopic surgery and the retention of organs from 1985 to 1987 in 169 patients with benign ovarian cysts and dermoid cysts. After laparotomy or laparoscopic surgery remove the tumor, including attachment removal, ovarian removal, or excision of ovarian cysts, retention and reconstruction of residual ovaries. All patients with organ reserve through double consultation, with ovarian ultrasound examination, long-term custody. In 169 cases of benign ovarian cysts and dermoid cysts, 72 cases (43%) had laparotomy and 97 cases (57%) had laparoscopic surgery. Laparoscopy from laparotomy to surgery showed a clear upward trend, only in 1985