27例卵巢畸胎瘤的诊断与治疗

贾音，刘俊华，朱红丽

（1.陕西省三原县妇幼和计划生育服务中心，陕西咸阳，713800；2.陕西省彬县妇幼和计划生育服务中心，陕西咸阳，713599；3.陕西省中医药大学第二附属医院妇产科，陕西咸阳，712021）

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摘要：

目的 探讨卵巢畸胎溜的早期诊断和防治方法。方法 对我院1998—2015年收治的27例卵巢畸胎瘤患者的临床资 料进行回顾性分析，观察卵巢畸胎溜的早期诊断和治疗效果。结果 早期经B超诊断23例，占85.19%；进一步经CT、MRI、PET或肿瘤标记物等诊断3例；剖腹探查术中诊断1例。早期通过手术切除原发肿瘤、辅助化疗等治愈24例，治愈率为88.89%。1例在就诊时已发生了恶变和多处转移，手术半年后死亡；2例术后多次复发，经反复手术切除原发瘤和转移瘤后治愈。总治愈率高达96.30%。结论 卵巢肿瘤防治工作应从儿童和青少年时期开始，要充分利用各种医学影像学、肿瘤标记物、腹腔镜和剖腹手术的机会，力争早发现、早诊断，早期采用综合性防治措施。

关键词：卵巢畸胎瘤；畸胎瘤恶变；综合防治

中图分类号：R737.31文献标志码：A文章编号：2096-1413(2017)07-0092-02

Diagnosis and therapy of twenty-seven cases with ovarian teratoma

JIA Yin1, LIU Jun-hua2, ZHU Hong-li3

(1. Center of Maternal and Child and Family Planning Service in Sanyuan County, Xianyang 713800; 2. Center of Maternal and Child and Family Planning Service in Bin County, Xianyang 713599; 3. Department of Obstetrics and Gynecology, the Second Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang 712021, China)

ABSTRACT: Objective To investigate the early diagnosis and prevention methods of twenty-seven cases with ovarian teratoma. Methods The clinical data of 27 patients with ovarian teratoma treated in our hospital from 1998 to 2015 were retrospectively analyzed, and the early diagnosis and treatment of ovarian teratoma were observed. Results Twenty-three cases were diagnosed with ultrasonography at the early stage, accounting for 85.19%; three cases were further diagnosed with CT, MRI, PET and tumor marker; one case was diagnosed with exploratory laparotomy. Twenty-four cases were cured by early surgical resection of primary tumors and adjuvant chemotherapy, the cure rate was 88.89%;1 case had a malignant transformation and multiple metastases at the time of visit, and died six months after surgery; 2 cases of multiple recurrence were cured after repeated surgery to remove the primary tumor and metastases. The total cure rate was 96.30%. Conclusion Prevention and treatment of ovarian cancer should start from childhood and adolescence. To make full use of a variety of medical imaging, tumor markers, laparoscopic and laparotomy opportunities, and strive to early detection, early diagnosis, early use of comprehensive prevention and control measures.

KEYWORDS: ovarian teratoma; teratoma with malignant transformation; comprehensive prevention and control

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