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目的:探讨小儿卵巢肿瘤及囊肿的临床症状、诊断、病理特点及治疗。方法:对1988～1997年手术治疗的41例卵巢肿瘤及囊肿,进行总结分析。结果:良性肿瘤术后无复发,恶性6例中存活3例。结论:小儿下腹部肿块伴有或不伴有腹痛术前均应作B超明确肿块来源及性质。甲胎蛋白(。—FP)酶标检查对小儿卵巢生殖细胞源性的恶性肿瘤的诊断及预后监测起了重要作用。对怀疑恶性卵巢肿瘤者术中宜作冰冻病理切片检查以决定手术方案。
Objective: To investigate the clinical symptoms, diagnosis, pathological features and treatment of children with ovarian tumors and cysts. Methods: Surgical treatment of 41 cases of ovarian tumors and cysts from 1988 to 1997 were analyzed. Results: No recurrence of benign tumor, 6 cases of malignant survival in 3 cases. CONCLUSIONS: The source and nature of B ultrasound should be clearly defined in children undergoing abdominal mass with or without abdominal pain. Alpha-fetoprotein (.-FP) enzyme-linked test plays an important role in the diagnosis and prognosis of ovarian germ cell-derived malignancies. On suspected malignant ovarian cancer surgery should be frozen pathological examination to determine the surgical options.