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首页> 外文期刊>Surgical Endoscopy >Laparoscopic ultrasonography during conservative ovarian surgery.
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Laparoscopic ultrasonography during conservative ovarian surgery.

机译：保守性卵巢手术中的腹腔镜超声检查。

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BACKGROUND: Most surgery for benign ovarian mass is now performed laparoscopically. Our purpose was to evaluate the usefulness of laparoscopic ultrasonography (LUS) in these operations. METHODS: Forty patients treated by laparoscopic extirpation of a benign ovarian tumor were examined perioperatively using an Aloka 7.5-MHz laparoscopic probe. Findings of preoperative vaginal and perioperative laparoscopic ultrasonography were compared with histologic diagnoses. The accuracy of LUS in localizing the tumor in the ovary and ensuring surgical radicalness was evaluated. RESULTS: LUS enabled correct diagnosis in 34/40 and vaginal ultrasonography in 27/40 cases. Localization of the tumor was possible by LUS in all and visually in 21 ovaries. In 2 patients a radical tumor extirpation was not possible without laparoscopic ultrasonographic guidance. CONCLUSIONS: Diagnostic accuracy in LUS is better than in vaginal ultrasonography. LUS facilitates exact tumor localization and can be useful in confirming the radicalness of operation.
机译：背景：现在，大多数用于卵巢良性肿块的手术都是通过腹腔镜进行的。我们的目的是评估腹腔镜超声检查（LUS）在这些手术中的有效性。方法：使用Aloka 7.5-MHz腹腔镜探头在围手术期检查了40例经良性卵巢肿瘤切除的患者。将术前阴道和围手术期腹腔镜超声检查的发现与组织学诊断进行比较。评估了LUS在卵巢中定位肿瘤并确保手术根治性的准确性。结果：LUS可以对34/40的患者进行正确的诊断，对27/40的患者进行阴道超声检查。 LUS可以在21个卵巢中全部可见地定位肿瘤。如果没有腹腔镜超声检查，则有2例患者不可能彻底根除肿瘤。结论：LUS的诊断准确性优于阴道超声检查。 LUS有助于精确定位肿瘤，并可用于确认手术的彻底性。

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