卵巢肿瘤2668例分类及发病特点分析

Analysis on classification and epidemiology of 2668 cases of ovarian tumors

目的了解卵巢肿瘤发病特点及其发病规律,为医疗决策提供依据。方法回顾性描述1951年～2000年我院收治的2668例卵巢肿瘤发病情况。结果各型卵巢肿瘤例数随年代进展逐年增加,各年代以表面上皮-间质肿瘤和生殖细胞肿瘤最多,两者构成比之和均达到85%以上,其次为性索间质肿瘤、继发性肿瘤等;不同发病年龄组各类卵巢肿瘤构成比仍以表面上皮-间质肿瘤和生殖细胞肿瘤最多,两者构成比之和均达到77%以上,其中恶性肿瘤以41～60岁发病年龄组较多,交界瘤以21～50岁发病年龄组较多。结论鉴于各类卵巢肿瘤发病人数日趋升高,临床应对其引起高度重视;各类卵巢肿瘤具有不同的发病年龄特征,为正确诊治提供参考。

Objective To investigate the classification and epidemiology of ovarian tumors. Methods A total of 2 668 cases of ovarian tumor were retrospectively reviewed in Xijing Hospital from 1951 to 2000. Results All types of ovarian tumors increased year wise. The incidences of epithelial - stromal tumor and sex germ cell tumor were the top two, combined for 85 ~ of ovarian tumors. The incidences of sex cord - stromal tumor and secondary tumors were lower. Among all age groups, the epithelial - stromal tumors and germ sex cell tumor presented the highest incidence, 77 %. The highest incidence of ovarian carcinoma was in 41-60 year- old groups and that of borderline tumor was in 21-50 years -old. Conclusions The incidence of various ovarian tumors are increasing, which should be paid much more attention to. The classification of ovarian tumors is closely related to age, which is valuable in diagnosis.