2008—2017年绍兴市青春期女性卵巢肿瘤133例临床资料分析  

Analysis on clinical data of adolescent ovarian tumors in Shaoxing City from 2008 to 2017

作　　者：高波[1] 揭芳 尉伟东[1] 陈雅飞[1] 董晓倩[2] 黄章骞[1] GAO Bo;JIE Fang;WEI Wei-Dong(Department of Gynecology,Shaoxing Women&Children’s Hospital,Shaoxing,Zhejiang 312000,China)

机构地区：[1]绍兴市妇幼保健院妇科,浙江绍兴312000 [2]绍兴市妇幼保健院检验科,浙江绍兴312000

出　　处：《中国妇幼保健》2021年第24期5615-5618,共4页Maternal and Child Health Care of China

基　　金：浙江省医药卫生科技计划项目(2017KY670)。

摘　　要：目的分析2008—2017年绍兴市青春期女性卵巢肿瘤临床资料,为青春期卵巢肿瘤的早期筛查提供医学建议。方法回顾性分析2008年1月—2017年12月绍兴市妇幼保健院收治的133例青春期卵巢肿瘤患者的发病情况、临床表现、辅助检查、病理特点及治疗情况。结果13岁后,卵巢肿瘤发病率逐渐升高,15岁后明显升高。初潮后1~5年共发病118例(88.72%)。月经异常和腹痛、腹胀为主要的首诊症状。卵巢巨大肿瘤(肿瘤最大径线>10 cm)的比例较高(30/148)。恶性肿瘤2例,均为无性细胞瘤,均行手术治疗+化疗;良性肿瘤125例,以成熟型畸胎瘤最多见(79例)。结论早期筛查有利于早期发现卵巢肿瘤并及时治疗,减少严重并发症的发生,保留生育功能,维护心理健康。Objective To analyze the clinical data of adolescent ovarian tumors in Shaoxing City from 2008 to 2017,provide medical advice for early screening of adolescent ovarian tumors.Methods The occurrence,clinical manifestations,auxiliary examination,pathological features,and treatment of 133 patients with adolescent ovarian tumors treated in Shaoxing Women&Children’s Hospital from January 2008 to December 2017 were analyzed retrospectively.Results After 13 years,the incidence rate of adolescent ovarian tumors increased gradually,after 15 years,the incidence rate of adolescent ovarian tumors increased significantly.At 1-5 years after menarche,118 patients(88.72%)were diagnosed as adolescent ovarian tumors.Menstrual disorder,abdominal pain,and abdominal distension were the first diagnosed symptoms.The proportion of patients with large ovarian tumor(the largest diameter of ovarian tumor>10 cm)was the highest(30/148).Two patients were diagnosed as malignant ovarian tumor,the type was disgerminoma,surgery and chemotherapy were performed;125 patients were diagnosed as benign ovarian tumor,mature teratoma was the main type(79 patients).Conclusion Early screening can early detect ovarian tumor,timely treatment can reduce the occurrence of severe complications,reserve fertility function,and maintain mental health.

关 键 词：卵巢肿瘤 青春期 临床资料 

分 类 号：R737.31[医药卫生—肿瘤]