绝经后妇女卵巢良恶性肿瘤临床分析

The clinical analysis of postmenopausal ovarian masses

目的探讨绝经后卵巢肿瘤的临床病理特点,预测良、恶性肿瘤的相关因素和处理方法。方法对80例绝经后卵巢肿瘤的相关资料进行回顾性分析,研究其病理类型、年龄、绝经年限、肿瘤大小和质地,结合血清CA125,探讨绝经后卵巢肿瘤的特点、诊断和合理的处理方式。结果绝经后卵巢恶性肿瘤的发生率为53.75%,其中50岁组高于60岁组和70岁组(P<0.05);卵巢的良、恶性肿瘤的发生与绝经年限无关(P>0.05);肿瘤大小、质地和血清CA125与良、恶性肿瘤的诊断密切相关。结论重视绝经后妇女的普查,一经诊断,应及早剖腹探察;肿瘤的大小、质地结合血清CA125值对肿瘤的早期诊断和处理具有指导意义。

Objective To analyze the pathological feature and the relative factors and treatment of menopausal ovarian masses. Methods A total of 80 cases were retrospectively studied from pathological types, age, postmenopausal time, the mass size and quality, combined with serum CA125, the feature, diagnosis and correct treatment were studied. Results Among the 80 cases, 53.75% were malignant masses, in which the group of fifty year - old were more than that in group of sixty year - old and group of seventy year - old （ P 〈 0.05） ; There was no relation between the postmenopausal time and of malignant tumor and benign tumor （ P 〉 0.05） ; The malignant diagnosis was closely related to the mass size, quality, and CA125 detection. Conclusion Examination should be paid more attention to the postmenopausal women and surgery as soon as possible. It is a good method to earlier diagnosis and treatment with the way of mass size combined with quality and CA125.