小儿卵巢肿瘤34例临床分析  

Ovarian Tumors in Children an Analysis of 34 Cases

作　　者：杨体泉[1] 唐咸明[1] 容兑熙[1] 陈自敏[1] 谭志忠[1] 

机构地区：[1]广西医科大学第一附属医院小儿外科

出　　处：《中华小儿外科杂志》1998年第1期33-35,共3页Chinese Journal of Pediatric Surgery

摘　　要：目的：了解影响小儿卵巢肿瘤生存率的因素，探讨合理的治疗方案以提高治愈率。方法：３４例小儿卵巢肿瘤患儿为１９７３～１９９５年所收治，年龄４～１４岁，右侧１８例，左侧１６例，其中３例合并蒂扭转。均经手术及病理证实。良性２４例（７０．６％），恶性１０例（２９．４％）。结果：２９例获随访。２４例良性畸胎瘤术后１例复发；２例恶性畸胎瘤术后无瘤生存期分别为６年和２年；３例内胚窦瘤术后均死于肿瘤广泛转移。结论：对于良性卵巢肿瘤主张行患侧附件切除。对于Ⅰ、Ⅱ期恶性肿瘤除行患侧附件切除外，应剖视对侧卵巢，并进行活检、术后化疗及严密随访。对Ⅲ、Ⅳ期恶性卵巢肿瘤强调作根治性手术，尽可能切除原发灶及所有转移病灶，同时术后化疗，以达长期缓解。Objective: To discuss factors affecting the survival rate and reasonable treatment of ovarian tumor in children. Methods: Thirtyfour patients (aged 4-14 years) with ovarian tumors were treated from 1973 to 1995. The site in 18 cases was on the right, and 16 on the left. Three had a pedical torsion. Of them, 24 were benign (70.6%), and 10 malignant teratoma (29.4%). Results: Twentynine cases were followedup. One of the benign group relapsed. One of the two malignant teratoma has lived well for 6 years, and the other died 2 years after operation. Three cases with endodermal sinus tumor died of metastasis. Conclusions: The ipsilateral oophorectomy is a successful procedure for benign ovarian tumor. Ipsilateral oophorectomy plus a biopsy on contralateral ovary, followed by chemotherapy is necessary to malignant tumors of stage Ⅰ or Ⅱ. Radical excision for the stage Ⅲ or Ⅳ plus chemotherapy may achicve a longterm alleviation.

关 键 词：卵巢肿瘤 畸胎瘤 中肾瘤 儿童 临床分析 

分 类 号：R737.31[医药卫生—肿瘤]