摘要
目的 :探讨卵巢畸胎瘤在术前及术中的处理原则及病理类型。方法 :回顾性分析近 5年 14 1例卵巢畸胎瘤住院病例的临床病理资料。结果 :全部病人均手术病理诊断证实 ,其中良性畸胎瘤 (136 /14 1) 96 .5 % ,恶性畸胎瘤 (3/14 1) 2 .1% ,单胚层畸胎瘤 (2 /14 1) 1.4 %。术前B超检查 131例 ,10 2例提示良性肿瘤 ,提示畸胎瘤占 (81/10 2 )80 %。术中对侧卵巢剖视 4 8例 ,发现良性肿瘤 11例 ,恶性肿瘤 2例 ,占 2 7.0 8% (13/48)。结论 :卵巢畸胎瘤术前辅助检查以B超适宜 ,术中对侧卵巢切开探查实属必要。
objective: To investigate guidelines for the management of pre-operational, operational, and pathological patterns in patients with ovarian teratomas.Methods:The clinicopathologic data of 141 cases with ovarian teratomas were analyzed retrospectively.Results: All cases were diagnosed pathologically again after the operation. Of all the cases,the rate of benign,malignant,and monodermal teratomas were 96.5%(136/141), 2.1%(3/141), and 1.4%(2/141),respectively.Before the operation,102 of 131 cases examined with the B ultrasound were found to have benign teratomas,and the rate of teratomas was 80%(81/102). During the operation,the opposite ovaries of 48 cases incised were diagnostically found to have 11 cases of benign tumors and 2 cases of malignant tumors.The positive rate of diagnostical incision was 27.08%(13/48).Conclusion: It is suitable for the case with ovarian teratomas to be diagnosed auxiliarily by the B ultrasound.And during operation, it is essential for the opposite ovary of the case to be explored surgically.
出处
《江西医学院学报》
CAS
2002年第4期124-126,共3页
Acta Academiae Medicinae Jiangxi
