腹腔镜在儿童附件病变治疗中的应用。

K H Lee, C K Yeung, Y H Tam, K K Liu
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引用次数: 12

摘要

背景:作者总结了23例(平均年龄8.9岁;范围:3个月至15年)与各种附件病理超过3年的时间回顾。方法:23例患者中,7例诊断为先天性性腺病变,15例表现为腹痛,1例产前诊断为附件肿块。所有7例先天性性腺病变患者:马赛克特纳综合征(n = 2)、性腺发育不良(n = 3)和睾丸女性化综合征(n = 2)均成功行盆腔详细腹腔镜检查和腹腔镜性腺切除术。在15例腹痛患者中,11例有附件肿块,2例有急性阑尾炎,2例有盆腔炎。结果:11例患者中,10例成功行腹腔镜下附件肿物切除术。一名巨大畸胎瘤患者需要转开手术。两例急性阑尾炎患者均成功行腹腔镜阑尾切除术,而两例盆腔炎患者仅需要行诊断性腹腔镜手术。腹腔镜检查婴儿与产前诊断的附件肿块证实这是一个大网膜囊肿,这是成功切除。所有患者均恢复正常,无并发症,美容效果普遍良好。结论:腹腔镜对儿童附件病变的诊断和治疗安全有效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The use of laparoscopy in the management of adnexal pathologies in children.

Background: The authors' experience of using laparoscopy in the management of 23 girls (mean age: 8.9 years; range: 3 months-15 years) with various adnexal pathologies over a 3-year period is reviewed.

Methods: Of the 23 patients, seven were evaluated for congenital gonadal pathologies, 15 presented with abdominal pain and one patient had an antenatally diagnosed adnexal mass. Detailed laparoscopic examination of the pelvic cavity and laparoscopic gonadectomy were successfully performed in all seven patients with congenital gonadal pathologies: mosaic Turner's syndrome (n = 2), gonadal dysgenesis (n = 3) and testicular feminization syndrome (n = 2). Of 15 patients presenting with abdominal pain, 11 had an adnexal mass, two had acute appendicitis and two had pelvic inflammatory disease.

Results: Laparoscopic excision of the adnexal masses were successfully performed in 10 of 11 patients. Conversion to open surgery was required in one patient with a huge teratoma. Laparoscopic appendicectomy was successfully performed in both patients with acute appendicitis while diagnostic laparoscopy was the only procedure required in the two patients with pelvic inflammatory disease. Laparoscopy in the infant with an antenatally diagnosed adnexal mass confirmed this to be an omental cyst, which was successfully excised. All patients recovered without complications and good cosmetic result was universally achieved.

Conclusion: Laparoscopy is safe and effective in both diagnosis and treatment of adnexal pathologies in children.

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