| 84例卵巢交界性肿瘤临床研究 |
| 投稿时间：2017-08-05 修订日期：2017-08-12 点此下载全文 |
| 引用本文：黄帅,孟庆伟,吕爱明,张思辰,席凤.84例卵巢交界性肿瘤临床研究[J].医学研究杂志,2018,47(3):110-114 |
| DOI：
10.11969/j.issn.1673-548X.2018.03.028 |
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| 基金项目:北京医院博士启动基金资助项目（BJ-2015-113） |
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| 中文摘要:目的 分析探讨卵巢交界性肿瘤治疗方法以及影响其疗效的相关因素，为卵巢交界性肿瘤的诊断治疗提供有价值的参考资料。方法 回顾性分析84例卵巢交界性肿瘤患者的临床资料，包括年龄、实验室检查（主要是血CA125）、初次手术方式、术后病理特征、复发及生育等相关指标。结果 回访成功的71例患者中，无患者因卵巢交界性肿瘤死亡。根据肿瘤的分期、病理类型、肿瘤标志物（CA125）是否升高、手术方式（开腹或者腹腔镜）、手术过程中肿瘤是否破裂进行分组，各组之间比较差异无统计学意义（P>0.05）。而根据是否进行全面的分期手术、是否行淋巴结清扫、是否存在腹膜种植进行分组，肿瘤的复发率比较差异有统计学意义。结论 对卵巢交界瘤患者进行完整的分期手术及淋巴结清扫能够降低复发率，但不影响生存率。 |
| 中文关键词:卵巢交界性肿瘤 分期手术 保留生育功能手术 |
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| An Analysis of 84 Cases of Borderline Ovarian Tumor |
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| Abstract:Objective To analyze the factors affecting the curative effect of borderline ovarian tumor, and to provide valuable reference for the diagnosis and treatment of borderline ovarian tumor. Methods We retrospectively analyzed the clinical data of 84 cases of ovarian borderline tumor, including age, laboratory examination (mainly blood CA125) and initial operation, pathological characteristics, recurrence fertility etc. Results Among the 71 patients who received successful follow-up, no patients died due to borderline ovarian tumors. Dividing into groups according to the stage, pathological type, tumor marker (CA125), the approach of surgery (laparotomy or laparoscopy), and tumor rupture during surgery, there were no significant differences between the groups. The recurrence rate of the tumor was significantly different, dividing into groups according to whether the staging operation was performed, whether the lymph node dissection was performed or whether there were peritoneal implants. Conclusion Staging surgery and lymph node dissection for patients with borderline ovarian tumor can reduce recurrence but cannot affect survival rates. |
| keywords:Ovarian borderline tumor Staging surgery Fertility reserved surgery |
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