绝经后卵巢肿瘤125例临床诊治探讨
Clinical treatment of postmenopausal ovarian tumors
回顾分析2008年至2013年我院125例绝经后卵巢肿瘤患者临床资料.其中恶性肿瘤36例、良性肿瘤84例,交界性5例.41例交界、恶性病变患者中腹痛11例、腹胀30例、消瘦5例,良性患者分别为18、13和1例(P<0.05);超声检查提示囊实性肿物44例、囊性肿物57例确诊恶性肿瘤分别为22例和5例(P<0.05).恶性病变患者肿瘤直径5 ~ 10 cm、>10 cm者分别为20例(56%)、12例(33%),良性病变者分别为35例(42%)、24例(29%).超声联合CA125(≥35 kU/L为阳性)检测对卵巢恶性上皮性肿瘤特异性为91%,敏感性为93%.术前联合超声检查正确诊断恶性肿瘤31例,二者联合有助于鉴别肿瘤的性质.
更多To analyze the clinical characteristics of postmenopausal ovarian tumors and explore the predict indicators and treatment for ovarian benign and malignant tumors.A retrospective analysis was performed for clinical data and pathological results of 125 patients with postmenopausal ovarian tumors from January 2008 to January 2013.The symptoms of malignant patients included abdominal pain (n =30),bloating (n =11) and weight loss (n =5).It had significant difference compared with benign tumors (P <0.05).Ultrasound showed that there was 44 cystic and solid tumors with 22 malignancies and 57 cystic tumors with 5 malignancies.There was significant difference in morbidity of malignant ovarian tumors between them (P < 0.05).The incidence of malignant tumor in 5-10 cm group was 56%.There were significant differences compared with the < 5 cm group (P < 0.05).The specificity of ultrasound plus a combined detection of CA125 for malignant epithelial tumor of ovary was 91% with a sensitivity of 93%.Thirty-one cases of malignant tumor were accurately diagnosed with preoperative ultrasound.Ultrasound plus CA125 could help distinguish the characteristic of tumors.
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