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本文统计了1985～1989年五年中我院肿瘤病房收治的滋养细胞肿瘤275例,其中检出卵巢黄素囊肿162例,检出率58.90%.B 超检出率最高,达83.27%,共135例,妇科检查检出77例,为47.53%;手术检出73例,为45.68%.卵巢黄素囊肿直径<6cm 者有104例,占64.20%;6～8cm 者15例,占9.26%;>8cm(最大20cm)者43例,占26.5%.浸润性葡萄胎卵巢黄素囊肿检出率明显高于子宫绒癌,且大小也以浸润性葡萄胎为大.162例卵巢黄素囊肿中双侧82例。单侧80例,其中左侧28例,右侧52例,以右侧为多.卵巢黄素囊肿发生与年龄有关,<40岁组检出率为61.02%,≥40岁组为33.33%,这与≥40岁组卵巢功能下降,对 hCG 敏感性下降有关.hCG>20μg/L 者卵巢黄素囊肿检出率为59.77%,而≤20μg/L 者则为33.33%,间接证实 hCG 水平高低与黄素囊肿形成有关.随访了104例卵巢黄素囊肿,平均消失时间为53.37天,个别者近半年消失.162例卵巢黄素囊肿中发生扭转5例,均经手术治疗.本文就卵巢黄素囊肿发生发展,诊断处理等问题作了分析探讨.
This article counts 275 cases of trophoblastic tumors admitted to our hospital ward in five years from 1985 to 1989, of which 162 cases were detected with luteinizing cysts, the detection rate was 58.90% .The highest detection rate of B-ultrasound was 83.27% 135 cases, gynecological examination was detected in 77 cases, 47.53%; 73 cases were detected by surgery, 45.68% .Oxanthin cysts <6cm in diameter were 104 cases, accounting for 64.20%; 6 ~ 8cm in 15 cases, accounting for 9.26% ;> 8cm (maximum 20cm) in 43 cases, accounting for 26.5% .Impression hydatidiform mole ovarian flava cyst was significantly higher than the rate of uterine choriocarcinoma, and the size of the invasive hydatidiform mole is also large .162 cases of ovarian flavin cyst 82 cases in both sides. One side of 80 cases, including the left side of the 28 cases, the right side of 52 cases, to the right side.Oxanthin cyst incidence and age, <40 years old group was detected in 61.02%, ≥ 40 years old group was 33.33% This is associated with a decrease in ovarian function and a decrease in hCG sensitivity at ≥40 years of age, with an incidence of 59.77% for hCG> 20μg / L and 33.33% for those with ≤20μg / L, which indirectly confirms hCG levels And the formation of flavin cyst.Follow-up of 104 cases of ovarian flavin cyst, the average disappearance time of 53.37 days, some individuals disappeared in the past six months.Of 162 cases of ovarian flare cyst torsion occurred in 5 cases, were surgically treated.In this paper, Cyst development, diagnosis and treatment and other issues were analyzed.