89例卵巢恶性肿瘤腹腔镜检查结果分析  

Laparoscopic diagnosis of ovarian malignant neoplasms:Analysis of 89 cases.

作　　者：沙玉成[1] 罗永明[1] 

机构地区：[1]安徽医科大学第一附属医院妇产科,230022

出　　处：《中国实用妇科与产科杂志》1994年第6期351-352,共2页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：我科自1984年6月至1993年12月对89例卵巢恶性肿瘤病人进行腹腔镜检查,其中做诊断性腹腔镜61例,诊断卵巢恶性肿瘤53例,后行开腹手术43例(良性肿瘤2例),术后证实腹腔镜诊断符合率为95.2%。术前腹腔镜检能发现卵巢恶性肿瘤在横膈、肝包膜及肝悬韧带等处的微小转移灶,说明此法优于术中探查,但对大网膜转移情况的判断不及术中探查结果。暂不宜手术者,在镜检同时作腹腔插管化疗,为日后开腹手术创造条件。随诊性腹腔镜检36例,计44次。随访时间最短者为治疗后9个月,最长为5年,发现盆腹腔有复发或转移的计13例,占33.8%(13/44)。Sixty-one patients with diagnosed or suspected malignant tumours of ovary had laparoscopic examina- tions at this department from June 1984 to December 1993.Fifty—one of them were laparoscopically diag- nosed malignant,among whom 43 had laparotomy lat- er.Of the 43 cases,41(95.6%)were con firmed to be malignant;The other 2 were benign.Preoperative la- paroscopy had advantages over intraoperative explo- ration in finding the tiny metastases to the diaphragm and the Glisson's capsule.Therefore,it was useful for clinical staging.However,it was inferior to explo- ration in finding metastases to the grcater omentum. For those patients considered under laparoscopes as unsuitable for surgical treatment,simultaneous chemotherapy was given through catheterization to create favourable conditions for future laparotomy. Thirty—six patients had follow up laparoscopy total- ly,44 person—times.The shortest period was 9 months after the treatment,and the longest 5 years. Thirteen patients had pelvic recurrence or metastasis, accounting for 33.8%.

关 键 词：卵巢肿瘤 腹腔镜检 癌 

分 类 号：R737.310.4[医药卫生—肿瘤]