中国医药
中國醫藥
중국의약
CHINA MEDICINE
2011年
9期
1126-1129
,共4页
妇科盆腔良性疾病%卵巢癌%临床特点%鉴别诊断%综合评价
婦科盆腔良性疾病%卵巢癌%臨床特點%鑒彆診斷%綜閤評價
부과분강량성질병%란소암%림상특점%감별진단%종합평개
Gynecological pelvic benign diseases%Malignant ovarian tumors%Clinical characteristics%Differential diagnosis%Integrative evaluations
目的 探讨常见的疑诊为卵巢癌的妇科良性疾病的种类、临床特点,并对其良恶性的鉴别诊断作相关讨论.方法 对临床征象与卵巢癌类似但经术后病理诊断为良性病变的131例女性妇科盆腔肿物患者的临床资料、影像学及实验室检查等进行回顾性分析,并对其临床特点进行总结.结果 131例患者中,非肿瘤性病变68例,包括非特异性盆腔炎27例、子宫内膜异位症15例、子宫内膜异位症合并非特异性盆腔炎11例、结核8例、异位妊娠7例;肿瘤性病变63例,包括卵泡膜细胞瘤38例、子宫平滑肌瘤25例.慢性盆腔炎(包括慢性输卵管炎、盆腔包裹性积液、输卵管卵巢脓肿及盆腔脓肿)、卵巢子宫内膜异位囊肿、卵巢子宫内膜异位囊肿合并盆腔炎、盆腹腔结核、输卵管卵巢结核、异位妊娠、卵巢卵泡膜细胞瘤及特殊部位的子宫肌瘤(如向阔韧带及后腹膜发育的子宫体部、颈峡部肌瘤)等极易与卵巢癌相混淆.结论 采用多种手段进行综合评价,可以较准确地掌握妇科盆腔良性疾病的临床特点,作出良恶性的鉴别诊断.
目的 探討常見的疑診為卵巢癌的婦科良性疾病的種類、臨床特點,併對其良噁性的鑒彆診斷作相關討論.方法 對臨床徵象與卵巢癌類似但經術後病理診斷為良性病變的131例女性婦科盆腔腫物患者的臨床資料、影像學及實驗室檢查等進行迴顧性分析,併對其臨床特點進行總結.結果 131例患者中,非腫瘤性病變68例,包括非特異性盆腔炎27例、子宮內膜異位癥15例、子宮內膜異位癥閤併非特異性盆腔炎11例、結覈8例、異位妊娠7例;腫瘤性病變63例,包括卵泡膜細胞瘤38例、子宮平滑肌瘤25例.慢性盆腔炎(包括慢性輸卵管炎、盆腔包裹性積液、輸卵管卵巢膿腫及盆腔膿腫)、卵巢子宮內膜異位囊腫、卵巢子宮內膜異位囊腫閤併盆腔炎、盆腹腔結覈、輸卵管卵巢結覈、異位妊娠、卵巢卵泡膜細胞瘤及特殊部位的子宮肌瘤(如嚮闊韌帶及後腹膜髮育的子宮體部、頸峽部肌瘤)等極易與卵巢癌相混淆.結論 採用多種手段進行綜閤評價,可以較準確地掌握婦科盆腔良性疾病的臨床特點,作齣良噁性的鑒彆診斷.
목적 탐토상견적의진위란소암적부과량성질병적충류、림상특점,병대기량악성적감별진단작상관토론.방법 대림상정상여란소암유사단경술후병리진단위량성병변적131례녀성부과분강종물환자적림상자료、영상학급실험실검사등진행회고성분석,병대기림상특점진행총결.결과 131례환자중,비종류성병변68례,포괄비특이성분강염27례、자궁내막이위증15례、자궁내막이위증합병비특이성분강염11례、결핵8례、이위임신7례;종류성병변63례,포괄란포막세포류38례、자궁평활기류25례.만성분강염(포괄만성수란관염、분강포과성적액、수란관란소농종급분강농종)、란소자궁내막이위낭종、란소자궁내막이위낭종합병분강염、분복강결핵、수란관란소결핵、이위임신、란소란포막세포류급특수부위적자궁기류(여향활인대급후복막발육적자궁체부、경협부기류)등겁역여란소암상혼효.결론 채용다충수단진행종합평개,가이교준학지장악부과분강량성질병적림상특점,작출량악성적감별진단.
Objective To explore clinical characteristics and types of gynecological pelvic benign diseases similar to malignant ovarian rumors, and to discuss differential diagnosis of benign and malignant gynecological pelvic benign masses. Methods The clinical data, imaging and laboratory examinations of 131 cases, whose clinical symptoms resembled malignant ovarian tumors but pathologically were diagnosed of benign diseases , were reviewed.Results Many kinds of atypical benign diseases were easily confused with malignant ovarian tumors, such as chronic pelvic inflammatory including chronic salpingitis, pelvic encapsulated hydrops, mbo-ovarian abscess, pelvic abscess, ovarian endometriosis, ovarian endometriosis merging with pelvic inflammatory, abdominal and/or pelvic tuberculosis, tubo-ovarian tuberculosis, eccyesis, ovarian thecoma and hysteromyoma of specific site, for example corpus, cervix and isthmus uteri. Conclusions Evaluation by varying measures can effectively get hold of the clinical characteristics of gynecological pelvic benign diseases. It has important value to identify benign and malignant female pelvic masses in complex clinical settings.
