论文部分内容阅读
凡查体发现盆腔内肿块(尤其是实性肿块),同时伴有腹部膨隆、移动性浊音、腹水波等,应考虑卵巢癌合并腹水,但尚需结合病史及体征,与肝硬化及结核性腹膜炎等引起的腹水相鉴别。 在腹水量多、腹部极度膨胀、全腹浊音及移动性浊音不明显时,可行胃肠钡餐造影或B超检查与巨大卵巢囊肿鉴别。若系腹水,可见肠管漂浮于腹水中,有较大的活动度;而巨大卵巢囊肿往往将肠管推向一侧,B超检查可提示囊肿的存在、大小及部位。在未排除卵巢肿瘤之前,不应当穿刺放腹水,以免囊肿内容物漏入腹腔而造成医源性扩散。
Where the examination found pelvic mass (especially solid mass), accompanied by abdominal bulging, dull mobility, ascites and wave should consider ovarian cancer with ascites, but still need to combine history and signs, and cirrhosis and tuberculosis Peritonitis caused by ascites phase identification. In the amount of ascites, abdomen, extreme expansion, full abdominal voiced and mobile dullness is not obvious, feasible gastrointestinal barium meal imaging or B-ultrasound and identification of giant ovarian cysts. If the Department of ascites, visible intestinal floating in ascites, a greater degree of activity; and large ovarian cysts often push the intestine to one side, B-ultrasound can prompt the presence of cysts, size and location. Before not rule out ovarian cancer, ascites should not be punctured, so as to avoid leakage of cyst contents into the abdominal cavity and cause iatrogenic spread.