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孕27周时成功通过腹腔镜处理巨大卵巢肿瘤。病例报告。

Successful laparoscopic management of a huge ovarian tumor in the 27th week of pregnancy. A case report.

作者信息

Lin Yu-Hung, Hwang Jiann-Loung, Huang Lee-Wen, Seow Kok-Min

机构信息

Department of Obstetrics and Gynecology, Shin Kong Wu Ho-Su Memorial Hospital, Fu Jen Catholic University School of Medicine, Taipei Medical University, Taipei, Taiwan.

出版信息

J Reprod Med. 2003 Oct;48(10):834-6.

Abstract

BACKGROUND

Laparoscopic surgery in the second trimester is very rare. The enlarging uterus impedes surgical procedures and increases the risk of surgery. We report on a woman in the 27th week of pregnancy who developed a huge ovarian tumor.

CASE

A woman underwent laparoscopic surgery in the 27th week of gestation because of a rapid growing ovarian tumor. After aspiration of its contents, the tumor was extracted, and cystectomy was performed extracorporeally. The postoperative course was uneventful and the woman delivered a healthy infant at 42 weeks.

CONCLUSION

Laparoscopic gynecologic surgery can be performed through the 27th week of gestation, and extracorporeal manipulation makes the procedure much easier.

摘要

背景

孕中期的腹腔镜手术非常罕见。不断增大的子宫会妨碍手术操作并增加手术风险。我们报告一例妊娠27周时发生巨大卵巢肿瘤的女性病例。

病例

一名女性因卵巢肿瘤快速生长,在妊娠27周时接受了腹腔镜手术。抽出肿瘤内容物后,将肿瘤取出,并在体外进行了囊肿切除术。术后过程顺利,该女性在42周时产下一名健康婴儿。

结论

妊娠27周前可进行腹腔镜妇科手术,体外操作使手术更加容易。

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