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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 features of ovarian tumors in children, improve the early diagnosis rate and improve the prognosis. Methods: 45 cases (age≤7 years) of ovarian tumors confirmed by operation and pathology in the First Hospital of Jilin University were retrospectively analyzed. Results: There were 43 benign tumors and 2 malignant tumors in children with ovarian tumors. Among them, germ cell tumors accounted for the first place, mostly teratomas (benign 26 cases, malignant 1 case). The main clinical manifestations were abdominal pain and lower abdominal mass. Due to the lack of early clinical manifestations of ovarian cancer in children, misdiagnosis rate, mostly in the ovarian tumor torsion and emergency treatment. Conclusion: Ovarian tumors should be taken seriously in children. Ultrasound and CT examination are the main methods to diagnose ovarian tumors in children. The treatment of ovarian tumors in children is mainly based on surgical treatment. Appropriate surgical range and gonadal and reproductive function should be reserved.