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目的考察原发性卵巢肿瘤的临床病理特点、治疗及预后。方法分析探讨我院2009年5月至2010年1月收治的36例原发性卵巢肿瘤患者的肿瘤标本、临床表现、诊疗及其预后情况。结果本组患者的临床症状主要有腹部包块21例(58.33%);腹痛腹胀24例(66.67%);腹部积水10例(27.78%);阴道流血4例(11.11%);持续发热7例(19.44%)。良性15例(41.67%),恶性8例(22.22%),交界性13例(36.11%)。15例良性肿瘤患者,随访未发现复发病例;8例恶性肿瘤患者,术后半年、1年以及3年的生存率分别为87.50%、75.00%、50.00%。13例交界性肿瘤患者,1例术后1年随访发现健侧卵巢复发。结论成年妇女应当加强定期体检,必要时进行相关临床检查,尽早治疗,争取良好预后。
Objective To investigate the clinicopathological features, treatment and prognosis of primary ovarian tumors. Methods To analyze the tumor samples, clinical manifestations, diagnosis and treatment and prognosis of 36 patients with primary ovarian tumors admitted to our hospital from May 2009 to January 2010. Results The main clinical symptoms of this group were abdominal mass in 21 cases (58.33%), abdominal pain in 24 cases (66.67%), abdomen hydronephrosis in 10 cases (27.78%), vaginal bleeding in 4 cases (11.11%), persistent fever Cases (19.44%). Fifteen cases were benign (41.67%), eight were malignant (22.22%) and 13 were borderline (36.11%). No recurrence was found in 15 patients with benign tumors. The survival rates of 8 patients with malignant tumor at half a year, one year and three years after operation were 87.50%, 75.00% and 50.00% respectively. Thirteen cases of borderline tumors, one case of follow-up after 1 year found contralateral ovary recurrence. Conclusion Adult women should strengthen regular physical examination, and if necessary, conduct relevant clinical examination, treat as soon as possible, and strive for good prognosis.