摘要
目的探讨卵巢纤维瘤和纤维卵泡膜细胞瘤的临床特点、诊断依据、发病原因和治疗方法。方法回顾性分析北京妇产医院2008-2013年收治的134例病理诊断为卵巢纤维瘤和纤维卵泡膜细胞瘤患者的临床资料,并查阅复习有关文献。结果患者年龄20-74岁,平均44.8岁,40岁以下患者50例,占37.3%,40岁以上患者84例,占62.7%。术前诊断盆腔肿物94例（81.7%）,诊断纤维瘤20例（1.5%）。血CA125最高为123.8 U/ml,平均19.04 U/ml,肿瘤直径0.2-10 cm,平均3.7 cm,伴随盆腔积液患者14例（10.4%）。44例患者行开腹手术,90例行腹腔镜手术。结论卵巢纤维瘤及纤维卵泡膜细胞瘤多为良性肿瘤,但易误诊,需联合患者情况及相关检查做出临床诊断。小于40岁患者行腹腔镜瘤体切除术,大于40岁患者多采用全子宫加单/双附件切除术。
Objective To investigate the clinical characteristics, diagnostic basis, causes and treatments of ovarian fibroma and fibrothecoma. Methods One hundred and thirty-four cases pathologically diagnosed as ovarian fibroma and fibrothecoma between 2008 and 2013 at Beijing Obstetrics and Gynecology Hospital were reviewed retrospectively. Results The mean age was 44.8 years（20~74 years）. 37.3% of the cases was older than 40. 81.7% of the cases were preoperatively diagnosed as pelvic masses and 1.5% were fibroma. The mean value of serum CA125 was 19.04 U/ml,the mean diameter of tumors was 3.7 cm（0.2~10 cm）,10.4% of the cases with pelvic effusion. Forty-four cases underwent laparotomy and 90 cases underwent laparoscopy. Conclusion Ovarian fibroma and fibrothecoma can be easily misdiagnosed, patient＇s condition and the relevant work up should be considered before clinical diagnosis is made. Young patients should undergo laparoscopic tumor resection, while elderly patients usually undergo hysterectomy with unilateral/bilateral salpingo oophorectomy.
出处
《北京医学》
CAS
2016年第11期1137-1139,共3页
Beijing Medical Journal
