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目的 :探讨未成熟畸胎瘤的临床特征。方法 :对 1979年 8月至 1999年 7月收治的 49例卵巢未成熟畸胎瘤进行回顾性分析。结果 :49例卵巢未成熟畸胎瘤患者 30岁以下者占 75 .49% ,临床分期 期 2 6例 , 期 6例 , 期 13例 , 期 4例。其中实行保守性手术的 5年生存率较根治性手术 5年生存率稍低但无统计学差异。 49例中发生于单侧卵巢的占 88.2 % ,其中左侧占 5 3.6 %。结论 :卵巢未成熟畸胎瘤主要发生在青少年 ,单侧尤其左侧卵巢好发 ,临床分期与预后有关 ,手术方式与生存率无必然规律 ,对年轻患者要求生育者 ,可考虑行保留生育功能的手术方式。
Objective: To investigate the clinical characteristics of immature teratoma. Methods: 49 cases of ovarian immature teratoma admitted from August 1979 to July 1999 were retrospectively analyzed. Results: 49 cases of immature ovarian teratoma patients under the age of 30 accounted for 75.49%, clinical stage of 26 cases, 6 cases, 13 cases, 4 cases. Among them, the 5-year survival rate of conservative surgery was slightly lower than that of radical surgery but no significant difference. Of the 49 cases, 88.2% occurred in unilateral ovary, with 53.6% of the left. Conclusions: Immature teratoma of ovary mainly occurs in adolescents, and the incidence of unilateral ovaries, especially the left ovary, is related to the prognosis. There is no necessary regularity of operation method and survival rate. For young patients who require fertility, the reproductive function may be considered The surgical approach.