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妊娠期盆腔肿块的腹腔镜切除术。

Laparoscopic excision of pelvic masses during pregnancy.

作者信息

Neiswender L L, Toub D B

机构信息

Department of Obstetrics and Gynecology, Philadelphia College of Osteopathic Medicine, Pennsylvania 19107, USA.

出版信息

J Am Assoc Gynecol Laparosc. 1997 Feb;4(2):269-72. doi: 10.1016/s1074-3804(97)80022-9.

DOI:10.1016/s1074-3804(97)80022-9
PMID:9050740
Abstract

Ovarian neoplasms are infrequently found during early pregnancy and are typically benign corpus luteum cysts that regress. When a large mass persists or enlarges, surgical evaluation is mandated, preferably in the second trimester. To prevent the morbidity of a laparotomy and minimize length of stay, operative laparoscopy was performed on two pregnant women, gestational ages 18 and 15 weeks, with large ovarian tumors ranging in size from 10 to 18 cm. Laparoscopic salpingo-oophorectomy was successful in both patients, and frozen section confirmed the benign nature of the tumors. There were no complications and both pregnancies were continuing at the time of writing.

摘要

卵巢肿瘤在妊娠早期很少见,通常是会消退的良性黄体囊肿。当有大肿块持续存在或增大时,则必须进行手术评估,最好在孕中期进行。为防止剖腹手术的并发症并缩短住院时间,对两名分别为18周和15周妊娠的孕妇进行了手术腹腔镜检查,她们患有大小从10至18厘米不等的大卵巢肿瘤。两名患者的腹腔镜输卵管卵巢切除术均获成功,冰冻切片证实肿瘤为良性。未出现并发症,在撰写本文时,两名患者的妊娠均在继续。

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