卵巢成熟性畸胎瘤273例临床分析.pdfVIP

2o11年 6月第 26卷第3期 JournalofOccupationalHealthandDamage，June．2011Vo1．26．No．3 161 【论著】 卵巢成熟性畸胎瘤273例临床分析 齐成秋 [摘要]目的 对卵巢成熟性囊性畸胎瘤的临床特点进行分析。方法 回顾性分析2002-07／2007-07在绵阳市中心医 院首诊并行手术治疗的卵巢畸胎瘤273例，其中卵巢畸胎瘤恶变2例，对其临床特点进行分析。结果 卵巢成熟性囊 性畸胎瘤好发于生育年龄，以单侧肿瘤多见 (81．3％)，右侧略多于左侧 (44．85％和36．44％)，其恶性变很罕见 ，恶变率 为2％一4％，多发生于4JD岁以后 ，多为绝经后女性。两类肿瘤中CA199均有较高的阳性率，术前测定CA199作为二 者的鉴别指标可能意义不大。结论 要加强对妇女的妇科检查 ，对于40岁以上妇女的卵巢成熟性囊性畸胎瘤，肿瘤 体积偏大的，应警惕其恶变的可能。卵巢成熟性畸胎瘤预后较差。 [关键词] 卵巢 ；成熟性囊性畸胎瘤；临床特点 [中图分类号] R730．26 [文献标识码】 A [文章编号] 1006-172X(2011)03—161-02 OvarianM atureCysticTeratomaW ithM alignant：Studyof273Cases QICheng-qiu DepartmentofGynaecologyandObstetrics，TheCentralHospitalofMianyang， Mianyang621000，SichuanProvince，China． AbstractObjectiveToanalyzetheclinicalcharacteristicsofovarianmaturecysticteratomawihtmalignant． MethodsA totalof273caseswiht ovarina maturecysticteratoma，inwhich2caseshadmalingnatchnage， firstvisitednadunderwentgurgicaltreatmentduringJuly，2002toJuly，2007intheCentralHospitalofMi anyangwereretrospectivelyreviewedandnaalyzedtheclinical feathures．ResultsOvarianmaturecystictera— tomaoccuredmainlyinfemaleatprocretingage。unilateraltumorwasmorecommon，accountingfor81．3％ oftheincidence，andrightside(44．85％)wasslighdyhigherhtanleft(36．44％)．Malignantchnagewas merelyabout2％ 一4％ ．mainlyoccurred inhtepeopleagedabove40 andmenopausefemales．CA199 in twotypesoftumorshadhighpositiverate，SOhtatCA199wasnotagoodpreoperativedeterminationindicator ofthedifferentiation．ConclusionTheroutinepelvicexaminationofwomanshouldbestrengthened．ForO- varianmaturecysdcteratomainwomenover40years，thetumorvolumeisrelativelylarger，shouldbealer- tedtohtepossibilityofmalignantchange．Theprong osisofovarianteratomaispoor．