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目的探讨盆腔神经鞘瘤的临床特点及诊治要点。方法对我院收治的1例良性盆腔神经鞘瘤的临床资料进行回顾性分析。结果患者因体检发现盆腔包块28 d入院,无明显临床症状。曾在外院查腹部彩色多普勒超声(彩超)提示阔韧带肌瘤,在我院经查体、肿瘤标志物检查结合彩超结果初步诊断为盆腔包块性质待查、瘢痕子宫。行腹腔镜探查术,术中考虑盆腔粘连、腹膜后骶前肿物,因肿物暴露困难,遂中转开腹,将瘤体完整剥离,术后病理结果证实为盆腔神经鞘瘤(良性),术后9 d痊愈出院,随访6个月肿瘤无复发。结论盆腔无症状性肿瘤应考虑神经鞘瘤的可能,及时行病理检查,以及早诊治。
Objective To investigate the clinical features and diagnosis and treatment of pelvic schwannoma. Methods One case of benign pelvic schwannoma admitted to our hospital was retrospectively analyzed. Results The patient found pelvic mass due to physical examination 28 d admission, no obvious clinical symptoms. Had to check the abdomen outside the hospital color Doppler ultrasound (color Doppler ultrasound) showed broad ligament fibroids, in our hospital by physical examination, tumor markers combined with color Doppler ultrasound results of the preliminary diagnosis of pelvic mass to be checked, scar uterus. Laparoscopic exploration, intraoperative pelvic adhesions, retroperitoneal sacral anterior mass, because of tumor exposure difficulties, then transfer to open the abdomen, the complete dissection of the tumor, postoperative pathology confirmed as pelvic schwannoma (benign) Nine days after the operation, patients were cured and discharged. There was no recurrence of tumor at 6 months follow-up. Conclusions Pelvic asymptomatic tumors should consider the possibility of schwannoma, timely pathological examination, and early diagnosis and treatment.