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目的:分析绝经后妇女卵巢肿瘤临床特征,总结诊疗经验。方法:回顾性分析收治确诊的绝经后妇女卵巢肿瘤320例。结果:无症状103例占32.19%,有自觉症状217例占67.81%,常见腹部异样、腹痛、阴道出血;触诊检查有包块283例占88.44%,有结节者50例占15.63%,有腹水者51例占15.94%;≤60岁者占61.25%,61~70岁占28.13%,>70岁占10.63%;良性150例占46.88%,恶性占47.81%,交界性占5.31%;上皮性肿瘤65.63%多见恶性,生殖细胞肿瘤26.88%多见良性,性索间质细胞肿瘤7.50%多为恶性;B超声见囊实性35.63%多见良性,囊性32.81%,实性31.56多见恶性;血清CA125水平≤35U/ml良性比重71.93%高于>35U/ml18.12%。结论:绝经后妇女卵巢肿瘤恶性率较高,可见于任何年龄段,触诊、超声、血清标志物检查是定性诊断肿瘤的有效方法,医师应积极总结经验,提高卵巢肿瘤定性诊断水平;绝经后女性应提高自我诊断能力,自觉异常及时就诊。
Objective: To analyze the clinical features of ovarian tumors in postmenopausal women and summarize the experience of diagnosis and treatment. Methods: A retrospective analysis of 320 cases of ovarian tumors in postmenopausal women diagnosed. Results: Asymptomatic 103 cases accounted for 32.19%, there were 217 cases of conscious symptoms accounted for 67.81%, common abdominal abnormalities, abdominal pain, vaginal bleeding; palpation of 283 cases accounted for 88.44%, 50 cases of nodules accounted for 15.63% 51 with ascites accounted for 15.94%; those with 60 years of age accounted for 61.25%, 61- 70 with 28.13% and> 70 years with 10.63%; benign 150 with 46.88%, malignant with 47.81% and border with 5.31% 65.63% of epithelial tumors were more malignant, 26.88% of germ cell tumors were more benign, and more than 7.50% of stromal cell tumors were malignant. B ultrasound showed cystic solidity of 35.63%, 32.81% cystic and 31.56 solid More common malignant; serum CA125 levels ≤ 35U / ml 71.93% of the proportion of benign than> 35U / ml18.12%. Conclusions: Ovarian tumors in postmenopausal women have a high malignant rate, which can be seen at any age. Palpation, ultrasound and serum markers are effective methods to diagnose tumors qualitatively. Physicians should actively summarize the experience and improve the qualitative diagnosis of ovarian tumors. After menopause Women should improve their self-diagnostic ability, consciously and timely treatment.