子宫切除术后盆腔包块37例分析

目的探讨子宫切除术后盆腔包块形成的原因、临床表现及治疗方法。方法收集并分析37例因良性疾病行子宫切除术后盆腔包块的两次手术前后情况、包块的性质、二次手术方式、治疗效果及随访结果。结果 37例患者在子宫切除时均保留了一侧或两侧附件,其中27例以体检或自查方式发现,10例有慢性腹痛、性交痛等症状;病程长短不一、包块活动度欠佳,用抗生素治疗或中药治疗无效。结论因良性疾病切除子宫保留一侧或双侧附件者,术后要随访。如有盆腔包块要早发现、早治疗,警惕残留卵巢肿瘤发生。

Analysis of pelvic mass after hysterectomy on 37 cases

Objective To discuss the cause of formation, clinical features and therapeutic methods of pelvic mass after hysterectomy. Methods Collected and analyzed oerioperative situstion, nature of mass, secondary operation methods, therapeutic effect and follow-up results of 37 cases with pelvic mass after hysterectomy because of benign disease. Results All of 37 cases were kept one or two sides of adnexa uteri. 27 cases detected masses by physical examination or self-exam. 10 cases showed chronic bellyache or dyspareunia. Course of disease were different, mass were poor activity, and treatment with antibiotics or TCM were invalid. Conclusion Patients who are kept one or two sides of adnexa uteri treated by hysterectomy because of benign disease should receive following-up to detect and treat pelvic masses early, preventing residual ovarian tumor.