绝经后卵巢肿瘤130例临床分析  

Clinical Analysis of 130 Cases of Postmenopausal Ovarian Tumors

作　　者：杨月敏[1] 常雅丽[1] 

机构地区：[1]河北医科大学第三医院,河北省石家庄市050051

出　　处：《中国全科医学》2009年第18期1710-1712,共3页Chinese General Practice

摘　　要：目的探讨50岁以上绝经后卵巢肿瘤患者的临床特征。方法对2002年1月—2007年7月我院130例50岁以上绝经后卵巢肿瘤患者的临床资料及病理结果进行回顾性分析。结果绝经后卵巢恶性肿瘤的发生率为40.00%,B超检查均显示盆腔包块;不同年龄段患者卵巢良性、交界性、恶性肿瘤的构成比间差异有统计学意义(P<0.05),其中60～69岁年龄段患者以恶性肿瘤为主;不同绝经年限患者卵巢良性、交界性、恶性肿瘤的构成比间差异有统计学意义(P<0.05),绝经20年以上的患者以恶性肿瘤为主。结论50岁以上绝经后卵巢肿瘤患者肿瘤的良恶性与患病年龄、绝经年限有关,建议应定期进行常规妇科检查,如有异常及时进行影像学检查及肿瘤标志物和病理检查,并积极治疗。Objective To investigate the clinical pathologic causes of postmenopausal ovarian tumors in women above 50 years old. Methods A retrospective analysis was performed, from January 2002 to July 2007, on clinical data and pathological results in 130 over - 50 - year - old patients with postmenopausal ovarian tumor. Results The incidence of postmenopausal malignant ovarian tumors was 40. 00%, which were shown as pelvic masses by ultrasonic examination; there was significant difference in compositions of benign, borderline, malignant ovarian tumors between different age groups （ P 〈 0. 05 ）. Patients of 60 -69 age group had mainly malignant tumors; there was significant difference in the compositions of benign, borderline, malignant tumors between patients with different menopausal years （ P 〈 0. 05 ）. Patients with over - 20 - year menopause had mainly malignant tumors. Conclusion Benign or malignant tumors are related to illness age and menopausal years in over -50 - year - old patients with ovarian tumors. It is suggested that routine gynecological examinations be performed regularly. If abnormal, timely imaging, tumor markers and pathological examinations should be done.

关 键 词：卵巢肿瘤 绝经 临床特点 

分 类 号：R737.31[医药卫生—肿瘤]