阑尾切除术在卵巢上皮性肿瘤中的应用探讨  

Options of Appendectomy in Surgical Treatment of Epithelial Ovarian Tumor

作　　者：王喆[1] 张颐[1] WANG Zhe;ZHANG Yi(The First Hospital of China Medical University,Shenyang 110001,China)

机构地区：[1]中国医科大学附属第一医院,辽宁沈阳110001

出　　处：《肿瘤学杂志》2021年第11期967-970,共4页Journal of Chinese Oncology

基　　金：国家重点研发计划项目资助(2018YFC1311600);辽宁省中央引导地方科技发展专项(2019JH6/10400006)。

摘　　要：阑尾不仅具有免疫功能,而且能够调节肠道菌群平衡,在维持机体稳态中起重要作用。阑尾与卵巢肿瘤的转移密切相关。不同类型的卵巢上皮性肿瘤是否应切除阑尾,一直备受争议。对于卵巢黏液性肿瘤,应重点关注阑尾外观情况、是否伴有腹膜假黏液瘤等转移病灶。若上述指标无异常,则不推荐行阑尾切除术。针对卵巢浆液性肿瘤,目前观点尚有分歧,有待进一步探索阑尾切除术在浆液性肿瘤中的最佳适应证。总之,阑尾对人体具有保护作用,切除阑尾并不能明显改善患者的预后,同时存在潜在的并发症。无论是哪种类型的卵巢上皮性肿瘤,均应尽量避免切除无病变的阑尾。The human appendix not only plays an important role in improving immunity but also contributes to regulating the balance of intestinal flora.However,the appendix is also closely associated with the metastasis of ovarian tumor.Whether the appendix should be removed has been controversial in different types of epithelial ovarian tumor.For mucinous ovarian tumor,if the appearance of the appendix is normal and there is no sign of pseudomyxoma peritonei,the appendectomy is not recommended.As for ovarian serous ovarian tumor,there is still controversial for the most adaptable indication of appendectomy.To sum up,the appendix confers multiple protective effects on the human body,appendectomy does not seem to have a significant impact on the prognosis of patients with epithelial ovarian neoplasms,and the appendectomy has potential complications.Accordingly,we should avoid removing the appendix without definite indications in all types of epithelial ovarian tumor.

关 键 词：良性卵巢囊腺瘤 交界性卵巢肿瘤 卵巢癌 阑尾切除术 

分 类 号：R713.6[医药卫生—妇产科学]