在紧急情况下,在怀孕期间对卵巢囊进行 laparoscopic 管理
Fatemeh Tabatabaei1,2,3, Seyedeh Tala Nabipour Hosseini1, Reza Hajiyar1
1Women's Reproductive Health Research Center, Al-Zahra Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.
Journal of minimal access surgery
|September 14, 2023
概括
对于怀孕期间的卵巢囊而言,紧急的腹腔镜手术是安全有效的,即使是在晚期. 这种方法尽量减少并发症,并确保母亲和胎儿的成功结果.
科学领域:
- 妇科外科手术 妇科外科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 最少侵入性的手术
背景情况:
- 怀孕期间的副质很常见,通常会自发消失,但会带来出血和扭伤等风险.
- laparoscopy 由于它的好处而被偏爱,但它在孕妇患者的安全性,特别是在紧急情况和晚期妊娠中,仍然令人担忧.
研究的目的:
- 评估紧急腹腔镜手术的安全性和可行性,以治疗孕妇的卵巢囊.
- 评估怀孕期间腹腔镜干预相关的结果和并发症.
主要方法:
- 一个回顾性研究48个紧急腹腔镜手术的卵巢囊.
- 病例是在2018年3月至2021年3月期间的第一和第二季度进行的.
- 收集了有关手术细节,孕产妇和胎儿结局以及术后管理的数据.
主要成果:
- 所有48次手术都成功完成,没有产妇或胎儿并发症.
- 卵巢扭曲是最常见的手术指示;成熟的瘤是最常见的病理.
- 平均手术时间为45分钟,平均住院时间为1.63天. 在某些情况下,托科利斯治疗和孕激素在术后进行.
结论:
- 卵巢囊的 laparoscopic 管理是安全和有效的孕妇,即使在紧急情况下和晚期妊娠年龄.
- 与开放式手术相比,该手术的发病率较低,确保怀孕延续的积极结果.
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