腹腔镜下卵巢囊肿的处理：内分泌科医生的观点
Laparoscopic management of ovarian cysts: an endocrinologist view.
作者信息
Thornton K L, DeCherney A H
机构信息
Department of Obstetrics and Gynecology, Yale University School of Medicine, New Haven, Connecticut.
出版信息
Yale J Biol Med. 1991 Nov-Dec;64(6):599-606.
The management of certain ovarian cysts has evolved from the traditional and often quite radical surgical approach to a more conservative approach. Much of this change can be attributed to the improvement in laparoscopic surgical technique. After a brief discussion of the differential diagnosis and clinical presentation of ovarian cysts, ultrasonographic features of certain ovarian cysts will be reviewed. Certainly the ability to characterize cysts ultrasonographically has facilitated gynecologists' ability to predict the neoplastic potential of a cyst and therefore to justify the more conservative approach. The various techniques of laparoscopic ovarian cyst aspiration, fenestration, and cystectomy will then be described.
某些卵巢囊肿的治疗方法已从传统的、通常较为激进的手术方式演变为更为保守的方法。这种变化在很大程度上归因于腹腔镜手术技术的改进。在简要讨论卵巢囊肿的鉴别诊断和临床表现之后，将回顾某些卵巢囊肿的超声特征。当然，通过超声对囊肿进行特征性描述的能力有助于妇科医生预测囊肿的肿瘤发生潜能，从而证明采用更为保守的方法是合理的。随后将描述腹腔镜卵巢囊肿抽吸、开窗和囊肿切除术的各种技术。
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