卵巢成熟畸胎瘤发病特点及超声检查符合率分析

Analysis of Onset Characteristics of Mature Ovarian Teratoma and Coincidence of Ultrasonography

目的探讨卵巢成熟畸胎瘤的发病特点及超声检查符合率。方法回顾性选择卵巢畸胎瘤手术患者390例,单侧组308例,双侧组82例,观察两组与单发、多发的关系及超声检查符合率。结果 (1)单侧组单发/多发为244/64例,双侧组单发/多发为26/56例,差异有统计学意义(χ2=68.631,P<0.05)。(2)全部病例中:单发共270例,超声提示270例,符合率为100.0%;多发共120例,超声提示128例,符合率为23.3%,差异有统计学意义(χ2=92,P<0.05)。单侧共308例,超声提示308例,符合率100.0%;双侧共82例,超声提示54例,符合率为65.9%,差异有统计学意义(χ2=28,P<0.05)。结论卵巢成熟畸胎瘤发生于单侧或双侧,与肿瘤单发或多发可能存在一定相关性,且超声检查的检出率并不理想。

Objective To investigate onset characteristics of mature ovarian teratoma （MOT） and coincidence of ul- trasonography. Methods A retrospective study was carried out in 390 patients who had undergone operative removal of MOT in the past 3 years. All patients were divided into groups unilateral （n =308） and bilateral （n =82）. Relationship between types and number of MOT was observed and coincidence of ultrasonography studied. Results （ 1 ） In unilateral group, 244 had sin- gle MOT, 64 had multiple; In bilateral group, 26, 56, respectively; The difference was significant （ χ2 = 68. 631, P 〈 0.05）. （2） In all cases, 270 had single MOT, ultrasound suggesting 270 cases, its coincidence being 100. 0% ; 120 had muhiple, ultrasound suggesting 28 cases, its coincidence being 23.3% ; The difference was significant （χ2 = 92, P 〈 0. 05 ） ; 308 had unilateral MOT, ultrasound suggesting 308 cases, coincidence being 100. 0% ; 82 had bilateral, ultrasound suggesting 54 cases, coincidence being 65. 9% ; The difference was significant （ χ2 = 28, P 〈 0. 05）. Conclusion MOT in unilateral or bilateral ovarian may be related to single or multiple MOT. Its ultrasound detection rate is not so satisfactory.