保留患侧输卵管及卵巢的良性卵巢肿瘤蒂扭转复位及肿瘤剥除术临床分析

doi:10.3969/j.issn.1671-7171.2017.10.017

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摘要【目的】本研究旨在探讨保留患侧输卵管及卵巢的保守性手术对于年轻患者良性卵巢肿瘤的临床效果。【方法】收集2011年1月至2014年12月在本院妇产科诊断为卵巢肿瘤的患者183例。按照有无合并蒂扭转分为蒂扭转组和未扭转组,分别进行良性卵巢肿瘤蒂扭转复位及肿瘤剥除术和单纯的肿瘤剥除术,然后进行冷冻切片组织病理学检测,并且比较两组患者的术中情况和住院时间。【结果】183例病例中分别诊断为非肿瘤性卵巢囊肿(包括子宫内膜异位症)91例(49.7%),良性肿瘤69例(37.7%),原发性恶性卵巢肿瘤20例(11％),边缘性肿瘤2例(1.1％),转移性结肠癌1例(0.55％)。160例良性肿瘤中,131例(81.8％)有可能实施保留患侧输卵管及卵巢的保守性手术。 20例原发性恶性卵巢肿瘤的中位随访时间为36(1~62)个月; 在此期间,2/20例(10.0％)复发,均为生殖细胞型(未成熟畸胎瘤和卵黄囊肿瘤)。131例良性肿瘤接受了保留患侧输卵管及卵巢的保守性手术的患者均治愈。未扭转组手术时间、住院时间均短于蒂扭转组,术中出血量少于蒂扭转组( P＜0.05)。【结论】保留卵巢的保守性手术治疗年轻患者良性卵巢肿瘤效果显著,安全性较高,如能在未出现肿瘤蒂扭转时手术则效果更佳。

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	胡志芳
	郑建军

关键词 ：卵巢肿瘤/外科学, 卵巢, 输卵管, 治疗结果

Abstract：【Objective】To explore the conservative treatment of the oviduct and ovary retained in the ipsilateral benign ovarian tumor in young patients.【Methods】One hundred and eighty-three patients diagnosed with ovarian neoplasms in our hospital from January 2011 to December 2014 were selected and divided into pedicle torsion group and torsion group, respectively according to whether combined pedicle torsion or not. Treatment of benign ovarian tumor torsion reset reduction and simple tumor stripping were performed.Frozen sections were then taken for histopathological examination; intraoperative and hospitalization time were compared between the two groups of patients.【Results】In 183 cases, 91 cases (49.7%) were diagnosed as non neoplastic ovarian cysts (including endometriosis), 69 cases of benign tumor (37.7%), 20 cases (11%) of primary malignant ovarian tumor, 2 cases of borderline tumors (1.1%) and 1 case of metastatic colorectal cancer (0.55%). In 160 cases of benign tumors, 131 cases (81.8%) may undergo conservative surgery to preserve the affected fallopian tubes and ovaries. The median follow-up time of 20 patients with primary malignant ovarian tumors was 36 (1~62) months. During this period, 2/20 (10%) recurred, all of which were germ cell types (immature teratoma and yolk sac tumor). 131 patients who had received conservative surgery to retain the ipsilateral fallopian tubes and ovaries were cured. The operative time and length of hospital stay were shorter in torsion group than in torsion group (P<0.05).【Conclusion】Conservative ovarian conservative surgery is effective and safe in the treatment of benign ovarian tumors in young patients, and the operation is better if no tumor torsion is found.

Key words： Ovarian Neoplasms/SU Ovary Fallopian Tubes Treatment Outcome

收稿日期: 2017-03-06

PACS:

R737.31

引用本文:

胡志芳,郑建军. 保留患侧输卵管及卵巢的良性卵巢肿瘤蒂扭转复位及肿瘤剥除术临床分析[J]. 医学临床研究, 2017, 34(10): 1930-1932.
HU Zhi-fang, ZHENG Jian-jun. Clinical Analysis of Conservative Treatment of Torsion Reset and Benign Tumor Resection in Ipsilateral Oviduct and Ovary Retained. JOURNAL OF CLINICAL RESEARCH, 2017, 34(10): 1930-1932.

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http://www.jcr.net.cn/CN/10.3969/j.issn.1671-7171.2017.10.017 或 http://www.jcr.net.cn/CN/Y2017/V34/I10/1930

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