第150章 ?半年内不准碰我(1 / 2)

九星医院 明心飞扬 0 字 2021-09-05

陈晓敏的血清检测和超声、mri检查,可以高度怀疑是子宫内膜异位症,但还是以腹腔镜探查进行活检的准确率最高。

张景建议在腹腔镜探查进行活检的同时,如果检查情况良好的话,可以同时实施手术,以避免二次手术造成损伤。

陈晓敏与徐振南及家人商量过后,同意手术。

经过两天的术前准备,陈晓敏的腹腔镜手术由安怡主刀,张景做一助。

原本徐振南是想托关系找个副主任医师或主任医师做手术的,但想来想去,还是把手术交给了像是专家其实离专家还有很远距离的安怡,因为有张景做助手。

而他现在对张景有一种迷之信心,总觉得有张景,一切都会很顺利。

开始手术后,张景就由一助变成了主刀,而安怡也乐得做一助。

张景做手术时,通常是沉默不语的,但这次他特地一边做,一边给安怡上课,提高安怡的水平。

“检查子宫内膜异位,可以用腹腔镜检查,也可以剖腹探查、阴dao检查,乙状结肠镜检查,或膀胱镜检查。”

“但总的来说,用腹腔镜检查比剖腹检查要差一点,但比其他方式更准确,而且创伤更小!”

“你看,把镜头向左转五度,看到那个棕色点没有,这也是病灶,其他病灶的肉眼表现有透明、红色、或黑色,大小不一。”

“如果是在月经期检查,要对正确区分病灶与内膜正常剥落的不同,有时候很容易漏检!”

“安老师,子宫内膜异位一般出现在哪些部位!”,张景说了一大轮之后,考校起安怡来。

“子宫内膜异位症通常局限于腹腔器官的腹膜面或浆膜面。”,安怡略一思索后,回答道:“常见的部位有卵巢、阔韧带、子宫直肠陷凹及子宫骶骨韧带!”

“较少见的部位包括输卵管,小肠和大肠的浆膜面、输尿管、膀胱、阴dao、宫颈、手术瘢痕、胸膜和心包膜。”

张景抬起头来,赞赏地看了一眼安怡,“以前我看到一个病例,女患者胸痛,一直找不到原因,后来做了ct、mri,都以为是肺结节,但治了很久也不见好!”

“后来有医生用胸腔镜进行活检,才确认是子宫内膜细胞长成的结节,手术切掉,患者胸就不痛了。”

“还能跑到胸部去”,安怡惊讶地问。

“我估计是通过淋巴和循环系统运送到胸腔里去的!”,张景对这个胸腔镜手术相当得意,因为是在系统中训练中遇到的,特地多说了十多分钟。

检查了将近半个小时,探查出五个病灶,其中最大的一个病灶是直径约5mm蓝色斑点,从病灶的数量和分布看,初步判断属于子宫内膜异位症i期(微型)。

在活体标本送检的过程中,张景拿病灶照片去跟徐振南描述病情轻重程度。

“这么小”,徐振南瞪大眼睛看着病灶照片,“会不会还有病灶没找出来的!”

“嗯,目前暂时没有发现!”,张景说道:“也做了全身ct,目前就发现这五个病灶,算是非常轻微的,活检结果确认的话,我们就可以切除掉这五个病灶!”

“以后还能怀小孩吗”,徐振南说陈晓敏还想生个儿子,凑成一个好字!

“嗯……”,张景思索了一会,说道:“两三年内最好不要再怀孕,一是剖腹产后一般要两年后怀孕较好,二是这个病还是要定期检查,如果不复发,再考虑怀孕!”

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