2011年婦產(chǎn)科主治醫(yī)師手術(shù)指導(dǎo):卵巢支持-間質(zhì)細(xì)胞瘤的治療方案

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1.支持細(xì)胞瘤 基本屬良性腫瘤。對(duì)年輕患者、經(jīng)剖探對(duì)側(cè)卵巢盆腔無(wú)轉(zhuǎn)移、確屬Ⅰa 期患者,可行患側(cè)附件切除。對(duì)年長(zhǎng)、無(wú)生育要求者,應(yīng)行全子宮雙附件切除。若術(shù)中發(fā)現(xiàn)已有轉(zhuǎn)移應(yīng)行細(xì)胞減滅術(shù),術(shù)后輔以化療、放療?!?BR>    2.間質(zhì)細(xì)胞瘤 ①年輕患者經(jīng)手術(shù)中仔細(xì)探查,證實(shí)腫瘤僅累及一側(cè)卵巢,可行患側(cè)附件切除術(shù)。②中老年婦女以全子宮雙附件切除為宜。③對(duì)已有轉(zhuǎn)移或復(fù)發(fā)者應(yīng)做廣泛徹底手術(shù),術(shù)后可化療、放療?!?BR>    3.支持—間質(zhì)細(xì)胞瘤?、俑叻只С珠g質(zhì)細(xì)胞瘤:是良性腫瘤,治療原則是行患側(cè)附件切除。②其他類型支持間質(zhì)細(xì)胞瘤:對(duì)年輕未育婦女,經(jīng)術(shù)中仔細(xì)探查,臨床分期為Ⅰ期,可行患側(cè)附件切除,術(shù)后隨診。對(duì)中老年、無(wú)生育要求的婦女,行全子宮雙附件切除術(shù)。手術(shù)中發(fā)現(xiàn)有腫瘤播散、轉(zhuǎn)移或復(fù)發(fā)的病人,應(yīng)行腫瘤細(xì)胞減滅術(shù),術(shù)后化療或放療