21例卵巢甲状腺肿患者的临床病理研究

Clinical and pathological study for 21 patients with ovarian goiter

目的探讨卵巢甲状腺肿的临床病理特征,并对其诊治方式进行分析。方法对西平县人民医院收治的21例经术后病理学检查确诊为甲状腺肿患者的临床资料、术前诊断、病理结果及治疗方式进行回顾性分析。结果 12例患者诊断为甲状腺肿,6例诊断为良性病变,1例诊断为成熟性畸胎瘤,1例诊断为浆液性囊腺瘤,1例未进行快速冰冻切片检查,术后证实为低分化腺癌。治疗方式:12例患者予以腹腔镜下附件切除术或单纯卵巢良性肿瘤剥除术,5例予以开腹手术附件切除术或单纯良性肿瘤剥除术,1例予以膀胱部分切除+卵巢肿瘤剥除术,1例予以全子宫+双附件切除术,2例予以腹膜后肿物切除+降结肠部分切除+患侧卵巢部分切除术。结论观察甲状腺肿的临床特征,并早期对其进行病理学检查,早期确诊肿块性质及选择合理的治疗方案是关键。

Objective to investigate the cLinicaL and pathoLogicaL features of patients with ovarian goiter,and anaLyze the di-agnosis and treatment methods. Methods twenty one patients with ovarian goiter who were diagnosed by postoperative pathoLog-icaL examination were invoLved in the study. the cLinicaL data,preoperative diagnosis,pathoLogy and treatment of the cases were anaLyzed retrospectiveLy. Results tweLve patients were diagnosed as thyroid goiter,six benign Lesions,one mature teratoma, one serous cystadenoma,and another one was not given rapid frozen section examination were diagnosed as Low differentiated ade-nocarcinoma. tweLve patients were given treatment of Laparoscopic adnexectomy or simpLe excision of ovarian benign tumor,five given open operation appendectomy or simpLy benign tumor resection,one given partiaL cystectomy ＋ ovarian tumor resection, one given totaL hysterectomy＋biLateraL saLpingo oophorectomy,two given retroperitoneaL tumor resection＋descending coLon resec-tion＋ ipsiLateraL ovarian resection. Conclusion Observation of cLinicaL features of goiter and the earLy pathoLogicaL examination is the key for earLy diagnosis of masses and seLection of reasonabLe treatment scheme.