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腹腔镜手术在卵巢恶性肿瘤诊治中的应用(附12例报告)
引用本文:李末娟,钟培根,林环珠,高红梅,黄浩.腹腔镜手术在卵巢恶性肿瘤诊治中的应用(附12例报告)[J].中国微创外科杂志,2011,11(10):879-881,887.
作者姓名:李末娟  钟培根  林环珠  高红梅  黄浩
作者单位:1. 广东医学院第二附属医院妇产科,湛江,524023
2. 广东省南海人民医院妇产科,佛山,528200
摘    要:目的探讨腹腔镜手术在卵巢恶性肿瘤诊治中的价值。方法回顾分析2007年6月~2010年6月腹腔镜手术诊治12例卵巢恶性肿瘤的临床资料。肿瘤直径5~15 cm,其中4例直径〉10 cm;双侧7例,单侧5例。根据不同肿瘤类型与分期分别行腹腔镜手术或转开腹手术、腹腔镜下抽放腹水、诊断分期、腹腔灌注化疗联合全身化疗。术后均化疗。结果术中意外发现卵巢恶性肿瘤6例,其中行腹腔镜下卵巢癌减灭术或转开腹各2例,行腹腔镜下保留生育功能手术或转开腹手术各1例。术前疑诊卵巢恶性肿瘤6例,术中冰冻及术后病理均得以证实,其中3例转开腹行卵巢癌减灭术,另3例晚期无手术条件者采用镜下抽放腹水、诊断分期、腹腔灌注化疗配合全身静脉化疗,最终实施了开腹卵巢癌减灭术。12例随访1~41个月,平均11.7月,1例术后11个月复发,1例失访,余10例无瘤生存。结论腹腔镜手术在卵巢肿瘤的诊断分期、治疗具有相当重要的作用。

关 键 词:卵巢癌  腹腔镜

Laparoscopic in Diagnosis and Treatment of Ovarian Malignancy: Report of 12 Cases
Li Mojuan,Zhong Peigen,Lin Huanzhu,et al..Laparoscopic in Diagnosis and Treatment of Ovarian Malignancy: Report of 12 Cases[J].Chinese Journal of Minimally Invasive Surgery,2011,11(10):879-881,887.
Authors:Li Mojuan  Zhong Peigen  Lin Huanzhu  
Institution:Li Mojuan,Zhong Peigen,Lin Huanzhu,et al.Department of Gynaecology and Obstetrics,Second Hospital of Guangdong Medical College,Zhanjiang 524023,China
Abstract:Objective To discuss the clinical values of laparoscopy in diagnosis and treatment of ovarian malignancy.Methods An retrospective analysis was carried out in 12 cases of ovarian malignancy who underwent laproscopic diagnosis and treatment in our hospital from June 2007 to June 2010.The diameter of the tumors ranged from 5 to 15 cm,four of the cases have the tumor larger than 10 cm in diameter.Bilateral tumors were detected in 7 of the cases,and unilateral in the other 5.According to the type and stage of th...
Keywords:Ovarian malignancy  Laparoscopy  
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