摘要
目的 分析混合性附件包块的诊断和临床处理.方法 回顾性分析74例附件混合性包块患者的妇科检查、超声检查、肿瘤标志物、手术方式和病理结果 等临床资料.结果 74例患者中,良性病变70例占94.59%,卵巢交界性或恶性肿瘤4例占5.41%;选择腹腔镜手术者65例,占87.84%,其中中转开腹2例,发生率为3.08%.结论 附件混合性包块大部分为良性病变并能顺利腹腔镜手术,详细的术前评估有利于手术方式选择.
Objective To analyze diagnosis and management of complex adnexal masses. Methods The clinical data of 74 patients with complex adnexal masses were analyzed retrospectively, including gynecological examination, pelvic uhrasonography, detection of serum tumor biomarkers, surgical mode and pathological diagnoses. Results Among 74 patients with complex adnexal masses, 70 patients had benign lesions （ accounting for 94.59% ）, 4 patients had ovarian malignant or borderline tumors （5.4t%）. 65 patients （87.84%） were performed on under laparoscopy and surgical modes of 2 patients（3.08% ） were converted to laparotomy. Conclusion Most of complex adnexal masses were benign lesions and are successfully operated by laparoscopy. Comprehensive preoperative evaluation of patient＇ s condition is helpful for choice of surgical mode.
出处
《中国妇幼健康研究》
2010年第5期635-636,共2页
Chinese Journal of Woman and Child Health Research
关键词
附件包块
临床处理
腹腔镜
术前评估
adnexal mass
clinical management
laparoscopy
preoperative evaluation
