92例卵巢交界性肿瘤患者的临床病例分析  

A study on clinical data of 92 cases with borderline ovarian tumors

作　　者：刘娅[1] 杨兴升[1] 刘培淑[1] 张向宁[1] 张友忠[1] 姜洁[1] 张爱荣[1] 王立杰[1] 刘俊梅[1] 王波[1] 孔北华[1] 

机构地区：[1]山东大学齐鲁医院妇产科,济南250012

出　　处：《现代妇产科进展》2015年第11期836-839,共4页Progress in Obstetrics and Gynecology

摘　　要：目的:分析卵巢交界性肿瘤(BOT)患者术中冰冻切片检查及大网膜种植率在交界性肿瘤诊断及治疗中的价值,并进一步分析保留生育功能手术患者术后月经恢复情况及妊娠结局。方法:收集2007年1月至2014年12月在山东大学齐鲁医院妇科住院的92例卵巢交界性肿瘤患者的临床特点及治疗情况,随访保留生育功能患者的月经恢复及妊娠情况,并进行统计分析。结果:病理类型是影响冰冻切片与石蜡切片诊断符合率的主要影响因素,交界性浆液性肿瘤(SBOT)与黏液性交界性肿瘤肿瘤(MBOT)相比,符合率高(94.5%vs 80.0%),差异有统计学意义(P=0.043)。卵巢包膜表面种植是大网膜种植的相关因素(P=0.002)。腹腔镜与经腹保留生育功能手术相比,术后妊娠率、足月产率、术后妊娠间隔时间、术后月经复潮时间比较均无统计学差异(P>0.05)。结论:MBOT术中冰冻切片检查与常规病理检查符合率较低,病理医生及手术医生需提高警惕。大网膜种植多见于IIB期以上的患者,对于I期患者可适当保留目检正常的大网膜。Objective：To analyze the value of frozen section and the omental implanta-tion rate in diagnosis and treatment of BOT,and to analyze the pregnant outcomes and menstrual recovery after fertility preserving surgery. Methods：92 patients who diagnosis of borderline o-varian tumors was collected in Department of Obstetrics and Gynecology,Qilu Hospital of Shan-dong University from Jan. 2007 to Dec. 2014. Clinical case data and the follow-up was statistical analysed. Result：The pathological type was the only factor that affect coincidence rate between FS and PS. The coincidence rate of SBOT was higher than that of MBOT（94. 5% vs 80. 0%）. Ovarian surface implants were related to omental implants （ P=0 . 002 ） . The comparison of pregnancy outcome between the laparoscopic group and laparotomy group had no statistical difference. Conclusion：The coincidence rate between FS and PS of MBOT is lower than that of SBOT,pathologists and surgeons need to be vigilant. Omental implants appear in stage IIB ~III patients,patients in stage I who had macroscopic normal omentum may ignore omentectomy.

关 键 词：卵巢交界性肿瘤 大网膜切除术 术中冰冻切片检查 保留生育功能手术 

分 类 号：R711.75[医药卫生—妇产科学]