绝经后卵巢子宫内膜异位症33例临床分析-妇产科学专业毕业论文.docxVIP

浙江大学硕士学位论文 浙江大学硕士学位论文 中文摘要 绝经后卵巢子宫内膜异位症33例临床分析 浙江大学医学院 妇产科学 硕士研究生 余梦佳 导 师 林俊 中文摘要 目的：探讨绝经后卵巢子宫内膜异位症(内异症)的临床特点。方法：回顾性分析 我院自2006年09月至2015年02月经手术证实的33例绝经后卵巢内异症患者的 临床资料。结果：患者年龄54．5±4．4岁，绝经年限4．5±3．9年。61％(20／33) 为新发型绝经后内异症，39％(13／33)为复发型绝经后内异症。主要症状有盆腔 包块64％(21／33)，绝经后阴道流血27％(9／33)，下腹部不适21％(7／33)，阴道 异常流液3％(1／33)，肿瘤标志物升高3％(1／33)。II期3％(1／33)，III期42％(14／33)， Ⅳ期54％(18／33)。术后病理证实合并子宫肌瘤45％(15／33)，合并子宫内膜息 肉30％(10／33)，合并其他卵巢肿瘤病变24％(8／33)(1例滤泡囊肿，l例生发上 皮包涵囊肿，1例浆液性囊腺瘤，1例交界性粘液性囊腺瘤， 2例成熟性畸胎瘤， 1例透明细胞癌，l例子宫内膜样腺癌)，合并其他子宫肿瘤病变12％(4／33)(1 例子宫腺瘤样瘤，1例子宫内膜样腺癌，1例子宫腺肉瘤，1例子宫内膜间质肿瘤)。 随访时间1-9午，完成复查的15例患者中均无复发。结论：绝经后卵巢内异症的 临床表现不典型，容易漏诊。绝经后卵巢内异症的恶变风险较高，新发型内异症 应积极手术治疗。 关键字：子宫内膜异位症，绝经，临床特点，恶变。 II 万方数据 浙江大学硕士学位论文 浙江大学硕士学位论文 英文摘要 Clinically Characteristic Analysis of 33 Patients with Postmenopausal Ovarian Endometriosis Abstract Objective：To describe the cl inical feature of postmenopausal ovarian endometriosiS．1坯ethods：From September 2006 to February 2015，there were 33 patients of postmenopausal endometriosis treated with surgery in our hospital．C1inical data were analyzed retrospectively． Results：The average age was 54．5±4．4 years old．The average menopausal duration was 4．5±3．9 years．61％(20／33) of cases were Initial onset postmenopausal endometriosis， 39％ (13／33) of cases were relapse postmenopausal endometriosis．Chief complaint included 21 cases of pelvic mass，9 cases of postmenopausal vaginal b]eeding， 7 cases of Abdominal discomfort and one abnormal di scharge，one increased tumor markers．Stages of rAFS were l case of stage II，14 cases of stage III，18 cases of stage IV．The final pathologic findings of 33 cases were endometriosis with uterine fibroids in 15 cases，endometrial polyps in lO，ovarian tumor in 8 cases，other unterine lesions in 4 cases．15 patients had followed up for more than 1 years without evidence of recurrence． Conclusions：Because its clinical picture was at