绝经后卵巢可触及综合征62例报告  

Postmenopausal Palpable Ovary: Report of 62 Cases

作　　者：张凡[1] 郝增平[2] 靳家玉[2] 陈瑛[2] 

机构地区：[1]北京市垂杨柳医院妇产科,北京100022 [2]首都医科大学附属北京友谊医院妇产科,北京100050

出　　处：《中国微创外科杂志》2011年第8期676-679,共4页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨绝经后卵巢可触及(post menopausal palpable ovary,PMPO)综合征的肿物性质和临床特征的关系。方法回顾性分析2007～2010年我科住院手术治疗的62例绝经后卵巢可触及综合征的临床资料,分析年龄、绝经时间、肿瘤直径、下腹不适、阴道出血、B超所见、CA125水平等与肿物性质的关系。结果 62例中,恶性肿瘤占22.6%(14例)。以下患者恶性的比例高:年龄>70岁[50.0%(6/12)vs.16.0%(8/50),χ2=4.602,P=0.032],绝经时间>20年[50.0%(7/14)vs.14.6%(7/48),χ2=5.883,P=0.015],肿瘤直径>5 cm[39.1%(9/23)vs.12.8%(5/39),χ2=5.729,P=0.017],B超有复杂回声、多普勒血流信号改变、盆腔积液[92.9%(13/14)vs.2.1%(1/48),χ2=46.027,P=0.000],CA125>35 U/ml[100.0%(13/13)vs.2.0%(1/49),P=0.000]。结论 PMPO 22.6%(14/62)为恶性,应加强随访,必要时手术治疗。Objective To study the relationship between the nature of postmenopausal palpable ovary（PMPO） and its clinical features.Methods We retrospectively investigated 62 cases who received operation in our hospital during 2007 to 2010;and analyzed the relationship between the tumor nature and age,menopausal age,diameter of the tumor,hypogastralgia,colporrhagia,ultrasonographical diagnosis,and level of CA125.Results In the 62 patients,14（22.6%） had malignant tumor.The occurrence of malignant tumor was elevated in patients with age over 70 years [50.0%（6/12） vs.16.0%（8/50）,χ2=4.602,P=0.032],menopause duration over 20 years [50.0%（7/14） vs.14.6%（7/48）,χ2=5.883,P=0.015],diameter of the tumor over 5 cm [39.1%（9/23） vs.12.8%（5/39）,χ2=5.729,P=0.017],B-ultrasonography showing complex echo,Doppler blood signal change and cavity effusion [92.9%（13/14） vs.2.1%（1/48）,χ2=46.027,P=0.000],and CA12535 U/ml [100.0%（13/13） vs.2.0%（1/49）,P=0.000].Conclusion Postmenopausal women should have regular medical examination and receive operation if necessary,because 22.6% of PMPO can be malignant,

关 键 词：卵巢肿瘤 诊断 绝经后妇女 腹腔镜手术 

分 类 号：R737.31[医药卫生—肿瘤]