1993年Wilde等介绍一种传统的手术腹腔镜检查治疗绝经前的卵巢囊肿。虽然绝经后大多数附件肿瘤属良性,首次治疗的选择仍为剖腹术。通过阴道检查、阴道和腹部回波描记术,以及术中仔细观察卵巢和腹膜,有高度诊断的准确性。为前瞻性研究绝经后附件肿瘤腹腔镜检的准确性及疗效,1990年1月～1992年8月对169例绝经后附件肿瘤进行手术。当肿瘤直径>10cm,周界不清,囊实性混合存在,中隔增厚,伴腹水时,首次剖腹术。1991年8月以前疑有恶性 In 1993 Wilde et al introduced a traditional surgical laparoscopy for the treatment of premenopausal ovarian cysts. Although the majority of appendix tumors are benign after menopause, the first choice of treatment is still laparotomy. Vaginal examination, vaginal and abdominal echography, and intraoperative observation of the ovary and peritoneum, with a high degree of diagnostic accuracy. To prospectively study the accuracy and efficacy of laparoscopy for postmenopausal cancer, from January 1990 to August 1992, 169 patients with postmenopausal cancer were treated. When the tumor diameter> 10cm, the perimeter is unclear, cystic solid mixed presence, septal thickening, with ascites, the first laparotomy. August 1991 before the suspected malignant