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目的了解绝经后妇女卵巢肿瘤的临床及病理学特征。方法采用回顾性研究方法对 193例绝经后卵巢肿瘤患者的临床资料进行分析。结果卵巢恶性肿瘤占 37.3 % ,其中上皮性肿瘤占 6 5 .3 %。实性、囊实性、多房囊性肿瘤的恶性率明显高于单房囊性 (P <0 .0 1)。双侧卵巢肿瘤的恶性率明显高于单侧肿瘤 (P <0 .0 1)。有内科并发症者 10 6例 ,所有病例均行手术治疗 ,无手术引起的死亡及重大并发症。结论绝经后卵巢肿瘤的恶性率高 ,尤其是双侧实性、囊实性、多房囊性者。对老年妇女也应根据肿瘤的临床分期 ,尽早选择相应的手术治疗。
Objective To understand the clinical and pathological features of ovarian tumors in postmenopausal women. Methods The clinical data of 193 cases of postmenopausal ovarian tumors were analyzed retrospectively. Results Ovarian malignant tumors accounted for 37.3%, of which epithelial tumors accounted for 65.3%. Solid, cystic solidity, multi-atrophic tumor malignancy was significantly higher than single-cystic (P <0.01). The malignant rates of bilateral ovarian tumors were significantly higher than those of unilateral tumors (P <0.01). There are 106 cases of medical complications, all cases underwent surgical treatment, no surgery-induced deaths and major complications. Conclusions The postmenopausal ovarian cancer has a high malignant rate, especially those with bilateral solidity, cystic solidity and multi-cystic mass. The elderly women should also be based on the clinical stage of the tumor, select the appropriate surgical treatment as soon as possible.