按摩与康复医学
按摩與康複醫學
안마여강복의학
Chinese Manipulation & Rehabilitation Medicine
2015年
20期
4-5
,共2页
卵巢交界性上皮性肿瘤%临床分型%临床特点%治疗%预后
卵巢交界性上皮性腫瘤%臨床分型%臨床特點%治療%預後
란소교계성상피성종류%림상분형%림상특점%치료%예후
ovarian borderline epithelial tumor%clinical classification%clinical characteristics%treatment%prognosis
目的：分析卵巢交界性上皮性肿瘤的分型及其表现特点、治疗及预后情况，探讨卵巢交界性上皮性肿瘤的复发相关因素。方法：回顾性分析63例卵巢交界性上皮性肿瘤患者的临床资料，所有患者均已行手术治疗并术后病理证实卵巢相关病变。结果：63例患者中，浆液性囊腺瘤22例，粘液性囊腺瘤35例，其他类型6例；30例行卵巢肿瘤标准术式（子宫+双侧附件+大网膜+阑尾切除+包括盆腔淋巴结清扫术），33例行保守手术（卵巢囊肿剔除术10例，一侧或双侧附件切除术23例）；5年以上生存者29例，10年以上生存者15例，失访5例，4例复发，2例死亡；分期、手术范围、肿瘤标志物高低是影响复发及预后的重要因素。结论：卵巢交界性上皮性肿瘤发病年龄较轻，早期多见，转移较晚，预后良好，手术仍是主要的治疗方式，对有生育要求的女性仍应保留其生育功能，术后需要长期随访。
目的：分析卵巢交界性上皮性腫瘤的分型及其錶現特點、治療及預後情況，探討卵巢交界性上皮性腫瘤的複髮相關因素。方法：迴顧性分析63例卵巢交界性上皮性腫瘤患者的臨床資料，所有患者均已行手術治療併術後病理證實卵巢相關病變。結果：63例患者中，漿液性囊腺瘤22例，粘液性囊腺瘤35例，其他類型6例；30例行卵巢腫瘤標準術式（子宮+雙側附件+大網膜+闌尾切除+包括盆腔淋巴結清掃術），33例行保守手術（卵巢囊腫剔除術10例，一側或雙側附件切除術23例）；5年以上生存者29例，10年以上生存者15例，失訪5例，4例複髮，2例死亡；分期、手術範圍、腫瘤標誌物高低是影響複髮及預後的重要因素。結論：卵巢交界性上皮性腫瘤髮病年齡較輕，早期多見，轉移較晚，預後良好，手術仍是主要的治療方式，對有生育要求的女性仍應保留其生育功能，術後需要長期隨訪。
목적：분석란소교계성상피성종류적분형급기표현특점、치료급예후정황，탐토란소교계성상피성종류적복발상관인소。방법：회고성분석63례란소교계성상피성종류환자적림상자료，소유환자균이행수술치료병술후병리증실란소상관병변。결과：63례환자중，장액성낭선류22례，점액성낭선류35례，기타류형6례；30례행란소종류표준술식（자궁+쌍측부건+대망막+란미절제+포괄분강림파결청소술），33례행보수수술（란소낭종척제술10례，일측혹쌍측부건절제술23례）；5년이상생존자29례，10년이상생존자15례，실방5례，4례복발，2례사망；분기、수술범위、종류표지물고저시영향복발급예후적중요인소。결론：란소교계성상피성종류발병년령교경，조기다견，전이교만，예후량호，수술잉시주요적치료방식，대유생육요구적녀성잉응보류기생육공능，술후수요장기수방。
Objective:To analyze the types and their performance characteristics, treatment and prognosis of ovarian borderline epithelial tumor, and investigate its recurrence related factors. Methods:Clinical data of 63 cases of patients with ovarian borderline epithelial tumor were retrospective an-alyzed, all of the patients' ovarian related lesions were confirmed by pathological examination after surgery. Results:In 63 cases of patients, 22 cases were serous cystadenoma, 35 cases were mucinous cystadenoma, 6 cases were other types;30 cases treated by standard operation for ovarian tumor (uterus+bilateral annex+epiploon+appendectomy+pelvic lymph node dissection), 33 cases treated by conservative operation (including ovarian cyst removal 10 cases and resection of one or both of accessory 23 cases);more than 5 years survivors 29 cases, more than 10 years survivors 15 cases, 5 cases were lost follow-up, 4 cases recurred, 2 cases were dead;stage, operation range, the level of tumor markers were the important factors of recur-rence and prognosis. Conclusion:Ovarian borderline epithelial tumor often happens in young people when it's in early period, while its transfer is lat-er, the prognosis is good, operation is still the main treatment, the fertility function should kept in women who still require fertility, and need long-term follow-up after surgery.
