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目的:探讨绝经后妇女卵巢肿瘤的临床特征、诊断方法、肿瘤病理分类及处理原则。方法:对1989年12月～2008年1月收治的610例绝经后卵巢肿瘤患者的临床资料及病理结果进行回顾性分析。结果:绝经后卵巢恶性肿瘤的发生率为47.70%,44.59%的患者无任何症状。术前可经B超、彩超和CA125检测初步鉴别肿瘤的性质。绝经后不同年龄段患者卵巢良性、交界性、恶性肿瘤的构成比间差异无统计学意义(P>0.05)。结论:绝经后妇女应定期进行妇科检查,必要时结合B超、彩超及CA125检测协助诊断。绝经后卵巢肿块应予以重视,一旦确诊卵巢肿块,只要患者病情允许,应尽早治疗。
Objective: To investigate the clinical characteristics, diagnosis, classification and treatment of ovarian tumors in postmenopausal women. Methods: The clinical data and pathological findings of 610 patients with postmenopausal ovarian cancer who were admitted from December 1989 to January 2008 were analyzed retrospectively. Results: The incidence of postmenopausal ovarian cancer was 47.70%, 44.59% of patients without any symptoms. Preoperative B-ultrasound, color Doppler ultrasound and CA125 test to identify the nature of the tumor. There were no significant differences in the constituent ratios of benign ovarian, borderline and malignant tumors in different age groups after menopause (P> 0.05). Conclusion: Postmenopausal women should have regular gynecological examination, if necessary, combined with B ultrasound, color Doppler ultrasound and CA125 test to help diagnose. Postmenopausal ovarian mass should be taken seriously, once diagnosed ovarian mass, as long as the patient’s condition allows, should be treated as soon as possible.