腹腔镜子宫肌瘤剔除术后继发盆腹腔寄生性平滑肌瘤.pdfVIP

doi 10.3969/j.issn. 1674-4500.2014.02.20 分子影像学分子影像第年第3737卷第卷第22期期 ·125 · 病例报告 腹腔镜子宫肌瘤剔除术后继发盆腹腔寄生性平滑肌瘤腹腔镜子宫肌瘤剔除术后继发盆腹腔寄生性平滑肌瘤11例例 1 2 李 阳 ，关 婷 1 2 广东省军区门诊部妇产科，广东 广州 510500 ；广州军区总医院妇产科，广东 广州 510010 摘要：目的探讨腹腔镜子宫肌瘤剔除术后继发盆腹腔寄生性平滑肌瘤案列。方法 采用回顾性研究，总结1例手术配合过程。 结果 该例手术均获得成功, 手术摘除肿物病理符合平滑肌瘤。结论 腹腔镜子宫肌瘤剔除术是技术性较强的新治疗手段, 腹腔 镜子宫肌瘤剔除术后发生寄生性平滑肌瘤，较罕见。因此，对有腹腔镜肌瘤剔除手术史者，应定期复查，且应注意子宫以外的 盆、腹腔，若发现盆腹腔内实性肿物，应警惕继发寄生肌瘤的可能。 关键词：子宫肌瘤；寄生性平滑肌瘤；腹腔镜 Laparoscopic uterine fibroids excluding secondary abdominal postoperative parasitic leiomyoma 1 case 1 2 LI Yang , GUANGTing 1 The outpatient department of Guangdong province military command, Guangzhou 510500, China; 2Department of Obstetrics and Gynecology,Guangzhou General Hospital of Guangzhou Military Command , Guangzhou510010, China Abstract: Objective Discuss laparoscopic uterine fibroids excluding secondary abdominal postoperative parasitic leiomyoma case. Method a retrospective study, summarize 1 case operation process. Results The operations were successful, removed the mass pathology in leiomyoma. Conclusion Laparoscopic uterine flesh tumour removed is strong technical new treatments, laparoscopic uterine fibroids eliminate postoperative parasitic leiomyoma, is relatively rare. Therefore, to have a history of laparoscopy myoma eliminating should regularly review, and should pay attention to outside the uterus, abdominal cavity, if discover the abdominal cavity or solid neoplasm, should be alert to the possibility of secondary parasitic myoma. Key word: uterine fibroids; parasitic leiomyoma; laparoscopic 1 病例摘要 发实性占位（肌瘤）。CA125：74.2 kU/L ，癌胚抗原 患者，女性，40 岁，因“腹部隐痛1周，B 超检查发现 （CEA）：0.78 μg/L。入院诊断：盆腹腔包块性质待查：子 腹腔包块3 天”，于2014 年3 月9 日入院。既往患者于 宫肌瘤？于2011 年5月14 日在硬膜外麻醉下行剖腹探 2008 年9月在我院行腹腔镜下子宫