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            <td height="30" colspan="2" class="main_ArticleTitle" style="word-break:break-all;Width:fixed">有关腹腔镜在卵巢肿瘤中的应用</td>
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            <td colspan="2" bgcolor="FFE3F3"> 更新时间:2008-6-18 16:06:59  【字体:<a href="javascript:fontZoomA();" class="top_UserLogin">小</a> <a href="javascript:fontZoomB();" class="top_UserLogin">大</a>】</td>
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<p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 附件肿块是有争议的腹腔镜手术之一,争议的焦点在于对卵巢癌,剖腹手术往往处理过度而腹腔镜则处理不够。术前必须进行细致的筛选,cAl25和B超,包括彩色超声检查都是必须的,只有在CAl25&lt;35IU几和超声提示良性的病例,才考虑行腹腔镜手术。实性肿块一般不应在腹腔镜下手术。</p>
<p>&nbsp;&nbsp;&nbsp; 超声检查和cAl25检测卵巢肿瘤的敏感性和特异性不够理想,腹腔镜在这方面是满意的诊断工具,在有经验的医生手中,腹腔镜对于早期卵巢癌的诊断假阴性率&lt;1%。</p>
<p>&nbsp;&nbsp;&nbsp; 另一方面,术前诊断卵巢肿瘤的假阳性结果并非罕见,这可能导致一些不必要的剖腹手术,腹腔镜用于决定是否有必要行剖腹手术或决定手术切口的形式,使患者从中受益。明显的恶性肿瘤手术必须经剖腹进行(纵切口),而明显的良性肿瘤则可经剖腹(耻上横切口)或腹腔镜进行。</p>
<p>&nbsp;&nbsp;&nbsp; 如检查发现在卵巢的表面有乳头状或实质性肿瘤样结节生长,或者有可疑的腹膜转移灶时,就要怀疑有恶性的可能。当卵巢表面或腹膜正常时,卵巢癌的诊断并不能彻底排除,则须作活检作卵巢活检。</p>
<p>&nbsp;&nbsp;&nbsp; 当发现事先并没有怀疑的卵巢癌时,活检是有帮助的。目前主张作活检时使用剪刀而不是活检钳,原因是使用活检钳所取得的标本太小。但冰冻切片的诊断价值有时是有疑问的,此时,有4种选择,取决于是否有有经验的肿瘤医生,手术者腹腔镜的技术水平和从病人处得到准许的程度。</p>
<p>&nbsp;&nbsp;&nbsp; 第1种选择是咨询富有肿瘤手术经验的医生,行剖腹根治性手术。第2种是行活检,避免囊肿破裂并等待石蜡切片,以决定进一步治疗。第3种是施行附件切除术(腹腔镜或剖腹)以获取整个卵巢的病理诊断。第4种仅限于少数训练有素的医生,冰冻切片之后,行腹腔镜下手术,包括全子宫,双侧附件切除,盆腔或主动脉旁淋巴结摘除。</p>
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