假性Meigs综合征一例并文献复习

doi:10.12280/gjfckx.20201238

摘要/Abstract

摘要：

Meigs综合征是指卵巢纤维瘤、卵泡膜细胞瘤、Brenner瘤和颗粒细胞瘤这4种肿瘤合并腹腔积液和（或）胸腔积液,肿瘤切除后积液消失的临床综合征。假性Meigs综合征是指除上述4种卵巢肿瘤以外的盆腹腔肿瘤合并腹腔积液和（或）胸腔积液,肿瘤切除后胸腹腔积液消失的临床综合征。假性Meigs综合征临床上十分少见。现汇报1例吉林大学第二医院收治的假性Meigs综合征患者的病史资料,该患者为子宫平滑肌瘤合并腹腔积液,肌瘤切除术后腹腔积液消失。通过回顾分析该患者的诊治过程及术后随访,并复习相关文献,以提高广大临床医生对假性Meigs综合征的认知,避免误诊。

关键词: Meigs综合征, 子宫, 平滑肌瘤, 腹水, 胸水, 病例报告, 假性Meigs综合征

Abstract:

Meigs syndrome refers to the clinical symptoms that these four ovarian tumors: ovarian fibroma, follicular mesenchymoma, Brenner tumor, granulosa cell tumor, accompany with ascites and/or pleural effusion, and the effusion diappear after tumorectomy. Pseudo-Meigs syndrome is defined as a clinical symptoms that except for the above four ovarian tumors, abdominal and pelvic tumors with ascites and/or pleural effusion, effusion disappear after tumorectomy. It rarely happened in clinical work. This report gives an account of the medical history of one case of pseudo-Meigs syndrome admitted to the Second Hospital of Jilin University. The case is uterine leiomyoma complicated with ascites and ascites disappear after myomatectomy. This article improve the understanding of majority of clinicians on pseudo-Meigs syndrome and avoid misdiagnosis by analysing retrospectively the case of diagnosis and treatment process, pathological examination and follow-up results and the related literatures were reviewed.

Key words: Meigs syndrome, Uterus, Leiomyoma, Ascites, Hydrothorax, Case reports, Pseudo-Meigs syndrome

王博, 刘云飞, 李西梅, 刘艺, 刘姝妍. 假性Meigs综合征一例并文献复习[J]. 国际妇产科学杂志, 2021, 48(5): 563-565.

WANG Bo, LIU Yun-fei, LI Xi-mei, LIU Yi, LIU Shu-yan. Pseudo-Meigs Syndrome: A Case Report and Literature Review[J]. Journal of International Obstetrics and Gynecology, 2021, 48(5): 563-565.

图/表 4

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