Hulka J F, Parker W H, Surrey M W, Phillips J M
Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill 27514-7570.
J Reprod Med. 1992 Jul;37(7):599-602.
The American Association of Gynecologic Laparoscopists (AAGL) membership was surveyed on the use of laparoscopy in the management of persistent ovarian masses in 1990. A total of 13,739 laparoscopies were performed for this indication. Ninety-six percent of the respondents performed laparoscopy for this indication on premenopausal women only. Among respondents performing laparoscopy for suspected cancer, there was a 14% conversion rate to laparotomy, compared to 9% among those who performed direct laparotomies when cancer was suspected. An overall incidence of 4 per 1,000 cases of stage I ovarian cancer was found, and about 70% of women with persistent adnexal masses were managed by laparoscopy alone. The risks to women with cancer, as well as the benefits to those without, are discussed.
1990年，美国妇科腹腔镜医师协会（AAGL）对其会员在持续性卵巢肿块管理中使用腹腔镜检查的情况进行了调查。针对该适应症共进行了13739例腹腔镜检查。96%的受访者仅对绝经前女性进行该适应症的腹腔镜检查。在因怀疑癌症而进行腹腔镜检查的受访者中，转为开腹手术的比例为14%，而在怀疑癌症时直接进行开腹手术的受访者中这一比例为9%。发现I期卵巢癌的总体发病率为每1000例中有4例，约70%有持续性附件肿块的女性仅通过腹腔镜检查进行处理。文中讨论了癌症女性面临的风险以及非癌症女性的获益情况。
