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浙江医科大学附属妇产科医院报道该院1985至1991年共遇6例腹膜后肿瘤,无误诊为卵巢肿瘤.5例因自己或在外院发现盆腔肿块,1例因阴道不规则出血伴下腹胀痛前来就诊.盆腔检查均触及正常子宫并发现肿块为单侧性,活动差或与盆壁相连,直径最小6×6×12cm,最大18×19×20cm,囊性2例,半囊半实性3例,实性1例.剖腹探查结果均为腹膜后肿瘤.作者指出妇产科医师应提高对外科肿瘤的警惕,重视三合诊检查,可感到部分病人有直肠前移.当发现宫旁肿块相当固定或与盆壁相连,应想到腹膜后肿瘤的可能性,并选用适当的辅助检查如静脉肾盂造影,CT,核磁共振,腹胀后充气造影等以明确诊断.
The Hospital of Obstetrics and Gynecology, Zhejiang Medical University reported that 6 cases of retroperitoneal tumors were encountered in the hospital from 1985 to 1991. There were no misdiagnosis of ovarian tumors. 5 cases had pelvic masses in their own or outside hospital, and 1 case had irregular bleeding due to vaginal bleeding. The pain came to the clinic. The pelvic examinations all touched the normal uterus and found that the mass was unilateral. The activity was poor or connected with the pelvic wall. The diameter was the smallest 6×6×12cm, the largest was 18×19×20cm, 2 cases were cystic, half of the capsule was half Three cases were solid, and one case was solid. The results of laparotomy were retroperitoneal. The authors pointed out that obstetricians should increase their vigilance on surgical tumors and pay attention to triple examinations. Some patients may feel rectal movement. Parametrial masses are relatively fixed or connected with the pelvic wall, and the possibility of retroperitoneal tumors should be considered, and appropriate auxiliary examinations such as intravenous pyelography, CT, MRI, abdominal bloating after inflation imaging, etc. to confirm the diagnosis.