摘要
我科自1989年1月至1993年8月共收治卵巢畸胎瘤154例,成熟型149例,未成熟型5例。最小年龄5岁,最大年龄74岁,以20~40岁居多。手术方式单侧附件切除75例,单侧附件切除加对侧剜除18例,单侧剥除39例,全子宫切除加单侧附件切除、对侧卵巢楔形切除14例,根治术1例。对未生育的80例患者对侧增大的卵巢进行了剖开检查,发现畸胎瘤8例,占10%。我们仅对保存部分卵巢者中的30例患者进行了卵巢功能及生育能力随访,术后月经周期正常26例,经期提前3例,月经不规则1例,术后有妊娠史者4例,5例未成熟畸胎瘤患者术后短期化疗4例健在,本文认为卵巢畸胎瘤多见于年轻妇女,对50岁以上或绝经期后的妇女应行全子宫切除加双侧附件切除,对年轻妇女应以保留卵巢功能的手术较合理,手术切除患侧肿瘤时有必要剖检对侧增大的卵巢;对Ⅰ期未成熟畸胎瘤,渴望生育的妇女可行单侧附件切除。
Object:To investigate the incidence of the ovarian teratoma and study how to reasonably treat it.Study design:154 patients from five years old to seventy four years old different operations were performed,the opposite enlarging ovaries in 80 non reproductive women were incised five immatured patients had received chemotherapy after operation,leaving the ovarian function and capability of reproduction were observed in thirty women after operation.Results:The ovarian teratoma usually occured in women from twenty to forty years old,eight teratoma were formed in eighty opposite distending ovaries.Among the thirty women with conservative operations,26 cases kept normal mensis;three patients were preceded,only one with irregular menstral;moreover,four patients were pregnant after treatment.Four patients survived among five patients with immatured teratoma.Conclusion:Ovarian teratoma is mere likely to occur in young women.In postmenopause patients or above fifty,the both ovaries and uterus should be removed.For young women,the conservative operation is more resonable,and it's necessary to incide opposite increasing side ovary;in the case of young women who desire further children can only remove one ovary.
作者
李彩云
吕忠士
洪利
冯祥兰
Li Caiyun;Lu Zhongshi;Hong Li(Department of Obstetrics and Gynecology,First Affiliated Hospital,Hubei Medical University,Wuhan 430071,China)
