摘要
目的:分析儿童卵巢肿瘤的临床特点,提高早期诊断率及改善预后。方法:对吉林大学第一医院经手术及病理证实的45例(年龄≤7岁)卵巢肿瘤患儿进行回顾性分析。结果:患儿卵巢肿瘤中良性肿瘤43例,恶性肿瘤2例,其中生殖细胞肿瘤占首位,以畸胎瘤居多(良性26例,恶性1例),临床表现主要为腹痛及下腹部肿物。由于儿童卵巢肿瘤早期缺乏特异性临床表现,误诊率高,多以卵巢肿瘤蒂扭转而急诊就诊。结论:应重视儿童卵巢肿瘤,超声及CT检查是诊断儿童卵巢肿瘤的主要方法;儿童卵巢肿瘤的治疗以手术治疗为主,应选择合适的手术范围,保留性腺及生育功能。
Objective： To analyze the clinical characteristics of ovarian tumors in children, increase early diagnostic rate, and im- prove prognosis. Methods： Forty -five children aged seven years old or under seven years old who were diagnosed as ovarian tumors defi- nitely by surgery and pathological examination in the hospital were analyzed retrospectively. Results： Among the children with ovarian tumors, 43 children were found with benign ovarian tumors and 2 children were found with malignant tumors, the incidence rate of germ cell tumors was the highest, and the most were teratoma, including 26 children with benign tumors and one child with malignant tumor, the main clinical manifestations were abdominal pain and hypogastric mass. Ovarian tumors of children lacked specific clinical manifestations during the early period, the rate of misdiagnosis was high, so the most of the children went to emergency department of hospitals because of pedicle reverse of ovarian tumors. Conclusion ： The children with ovarian tumors should be paid more attention to, ultrasonography and CT scan are main methods to diagnose ovarian tumors in children; the main therapeutic method was surgery, the extent of surgery should be confirmed carefully to reserve gonad function and reproductive function.
出处
《中国妇幼保健》
CAS
北大核心
2013年第11期1760-1761,共2页
Maternal and Child Health Care of China
关键词
卵巢肿瘤
儿童
诊断
治疗
Ovarian tumor
Child
Diagnosis
Treatment
