Shalev E, Eliyahu S, Peleg D, Tsabari A
Department of Obstetrics and Gynecology, Central Emek Hospital, Afula, Israel.
Obstet Gynecol. 1994 Apr;83(4):594-6. doi: 10.1097/00006250-199404000-00018.
To evaluate laparoscopic treatment of postmenopausal women with an adnexal cystic mass predicted to be benign.
Selection criteria were transvaginal sonographic appearance other than a complex cyst and a normal serum CA 125 level. During the period May 1988 to June 1993, 55 women fulfilled the criteria and underwent operative laparoscopy. During the same period, 75 postmenopausal women underwent exploratory laparotomy for an adnexal cystic mass that was complex in appearance or associated with elevated serum CA 125.
Laparoscopic bilateral oophorectomy was performed in all 55 women. All had benign masses (positive predictive value 100%). Malignant tumors were found in 23 of the 75 women undergoing laparotomy (negative predictive value 30.7%). There was no significant difference in size of the tumors between women undergoing laparoscopy or laparotomy.
Because of its safety and efficacy, laparoscopic management is the preferred procedure in postmenopausal women with a non-complex adnexal mass and a normal CA 125 level.
评估腹腔镜治疗预计为良性附件囊性肿物的绝经后女性。
选择标准为经阴道超声检查显示非复杂性囊肿且血清CA 125水平正常。在1988年5月至1993年6月期间，55名女性符合标准并接受了腹腔镜手术。同期，75名绝经后女性因附件囊性肿物外观复杂或血清CA 125升高接受了剖腹探查术。
所有55名女性均接受了腹腔镜双侧卵巢切除术。所有肿物均为良性（阳性预测值100%）。75名接受剖腹探查术女性中有23例发现恶性肿瘤（阴性预测值30.7%）。接受腹腔镜手术或剖腹探查术的女性肿瘤大小无显著差异。
由于其安全性和有效性，腹腔镜治疗是具有非复杂性附件肿物且CA 125水平正常的绝经后女性的首选治疗方法。
