卵巢病变82例的诊断与治疗

Diagnosis and Treatment of 82 Children with Ovarian Disease

目的总结分析儿童卵巢病变的发病趋势、临床特点及诊治进展。方法对本院1992年1月-2007年1月收治的82例卵巢病变患儿年龄、是否急诊、居住地、病理及手术方式等进行回顾性分析。结果女性患儿82例。年龄1d～14岁,平均年龄6.7岁。急诊入院31例(37.8%),平诊入院51例(62.2%);乡村患儿27例(32.9%),城镇患儿55例(67.1%);非肿瘤性病变45例(54.8%),良性肿瘤性病变31例(37.8%),恶性肿瘤性病变6例(7.4%)。其中1992-1996年发病12例(14.6%),1997-2001年24例(29.5%),2002-2007年46例(55.9%)。恶性肿瘤6例转内科化疗,性早熟2例保守观察,余74例均治愈。随访54例均无复发。结论儿童卵巢病变可发生于任何年龄,以急腹症入院较多,城镇发病多于乡村,有逐年上升趋势,病理类型以良性为主,腹腔镜手术有明显优势。

Objective To investigate the morbidity, clinical feature, diagnosis and therapy of ovarian disease in children. Methods Eighty - two children with ovarian disease were admitted and treated in Nanjing children＇s hospital from Jan. 1992 to Jan. 2007 ,were analyzed retrospectively with age, emergency admissions or not, dwell, pathology and method of operation. Results The age of 82 patients ranged from 1 day to 14 years old and the mean age was 6.7 years old. Thirty - one cases （ 37.8% ） were emergency admissions and 51 cases （62.2%） were routine admissions. Twenty - seven cases （32.9%） were rural patients and 55 cases （67.1% ） were urban patients. Forty - five cases （54.8%） were nontumorous disorder, 31 cases （37.8%） were benign tumor and only 6 cases （7.4%） were malignant tumor. About the marbidity,12 patients（ 14.6% ）were admitted from 1992 to 1996,24 patients（29.5% ） from 1997 to 2001 and 46 patients（55.9% ） from 2002 to 2007. Chemotherapy were carried out in 6 cases with malignant tumor in internal medicine ,2 cases with sexual precosity kept observation, the others were cured. Conclusions Ovarian disease can occur at any age in children. The clinical manifestation is characterized mainly by acute abdomen. The incidence of ovarian disease of children in urban areas is higher than that children in rural areas. The morbidity continues to show an upward tendency and the pathologic manifestations are mostly benign, laparoscopic operation has obviously superiority.