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妇科环境下的阑尾切除术:术中发现与相应的组织病理学。

Appendectomy in the gynecological setting: intraoperative findings and corresponding histopathology.

机构信息

Department of Gynecology, Wayne State University School of Medicine and the Detroit Medical Center, Detroit, Mich., USA.

出版信息

Gynecol Obstet Invest. 2011;71(3):189-92. doi: 10.1159/000317270. Epub 2010 Dec 14.

DOI:10.1159/000317270
PMID:21160144
Abstract

BACKGROUND/AIMS: To evaluate the intraoperative findings and corresponding histopathology associated with appendectomies performed during benign gynecological surgery.

METHODS

Retrospective case series.

RESULTS

Twenty-two appendectomies were performed from 2002 through 2008 at Hutzel Women's Hospital due to intraoperative findings of inflammation or erythema (n = 8), periappendiceal adhesions (n = 5), injury to the appendix or mesoappendix (n = 2), fecalith (n = 2), dilation of the appendix (n = 1), adnexal mass involving the appendix (n = 1), and suspected lipoma (n = 1). Final pathology was consistent with significant findings such as acute inflammation, periappendicitis, and adhesions or endometriosis involving the appendix in 68.2% of cases.

CONCLUSION

In the benign gynecological setting, appendectomies were primarily performed due to inflammation or erythema. In the majority of cases, significant appendiceal pathology was confirmed.

摘要

背景/目的:评估在良性妇科手术中进行阑尾切除术时的术中发现及相关组织病理学表现。

方法

回顾性病例系列研究。

结果

2002 年至 2008 年期间,由于术中发现炎症或红斑(n=8)、阑尾周围粘连(n=5)、阑尾或阑尾系膜损伤(n=2)、粪石(n=2)、阑尾扩张(n=1)、累及阑尾的附件肿块(n=1)和疑似脂肪瘤(n=1),在 Hutzel 妇女医院对 22 例患者进行了阑尾切除术。最终病理与急性炎症、阑尾周围炎以及粘连或累及阑尾的子宫内膜异位症等显著发现一致,占 68.2%。

结论

在良性妇科环境中,阑尾切除术主要是由于炎症或红斑而进行。在大多数情况下,均证实阑尾存在显著的病理改变。

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Appendectomy in the gynecological setting: intraoperative findings and corresponding histopathology.妇科环境下的阑尾切除术:术中发现与相应的组织病理学。
Gynecol Obstet Invest. 2011;71(3):189-92. doi: 10.1159/000317270. Epub 2010 Dec 14.
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Singapore Med J. 2009 Dec;50(12):1145-9.
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Appendiceal Endometriosis: A Comprehensive Review of the Literature.阑尾子宫内膜异位症:文献综述
Diagnostics (Basel). 2023 May 23;13(11):1827. doi: 10.3390/diagnostics13111827.
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Are Cesarean Section and Appendectomy in Pregnancy and Puerperium Interrelated? A Cohort Study.剖宫产与妊娠及产褥期阑尾切除术有关联吗?一项队列研究。
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