摘要
目的 探讨青少年女性卵巢肿物的超声特点。方法 回顾性分析在 1 994～ 2 0 0 3年我院门诊行经腹或经阴道 /直肠超声检查的青少年女性 1 4 1 85例 ,依年龄分为青年组 (1 8～ 2 5岁 )及少年组 (<1 8岁 )。结果 1 4 1 85例检查中 ,B超发现卵巢肿物的 1 0 4 3例 ,占 7 4 % ,以非赘生性为主。青年组及少年组卵巢肿物检出率、肿物大小、真性肿物病理类型及良、恶比例均无明显性 (P >0 0 5 )。 5 6例卵巢真性肿物患者 ,超声诊断良性与恶性肿瘤的符合率为 94 1 % ,同时均作血清肿瘤标记物检测。上皮性良性肿物中 ,仅 1例CA1 2 5升高 ,恶性肿物 5例中 ,3例CA1 2 5升高。卵巢生殖细胞肿物中 4例为内胚窦瘤 ,AFP值均异常增高。对手术患者标本 ,需进行病理检查。结论 青年及少年女性卵巢肿物发生情况无明显区别。超声诊断可协助对卵巢生理性与病理性肿瘤的鉴别。
Objective To investigate sonographic properties of ovarian tumors of children and adolescents female Methods A retrospective study was performed on 14 185 sonographic images of ovarian tumor of the young female taken by transabdomen or transvaginal/rectum sonography, which were divided into adolescent group (18～25 year-old) and children group (younger than 18 year-old). Results Among the 14 185 cases, 1 043 were found with ovarian neoplasm The incidence rate, neoplasm diameter, pathology and malignant proportion were not different between the two groups ( P >0 05). The diagnostic accuracy of benign and malignant ovarian tumor was 94 1% The final diagnosis was depended on pathologic examination Ovarian tumor markers could elevate in some cases Conclusions There is not no difference of ovarian tumor between children and adolescents Ultrasound imaging could help to identify pathologic ovarian neoplasm from physiologic cyst
出处
《中国妇产科临床杂志》
2004年第2期88-90,105,共4页
Chinese Journal of Clinical Obstetrics and Gynecology
基金
首都发展基金 (ZD199911)资助
