老年妇女卵巢肿瘤分析

An analysis of ovarian tumors in elderly women

目的 分析老年妇女卵巢肿瘤的病理特征. 方法 回顾性分析2015年1月至2017年12月我院收治的124例老年卵巢患者临床病例资料. 结果 124例老年卵巢肿瘤患者中交界性肿瘤6例、恶性肿瘤19例、卵巢良性肿瘤99例;绝经后阴道出血和下腹部疼痛是老年卵巢患者主要症状,其中老年卵巢良性肿瘤患者腹痛发生率高于恶性肿瘤患者（x2=5.813,P＜0.05）,老年卵巢恶性肿瘤患者绝经后阴道流血者发生率高于良性肿瘤患者（x2=8.123,P＜0.05）;良性卵巢肿瘤患者病理类型以黏液性囊腺瘤多见,恶性卵巢肿瘤患者病理类型以浆液性囊腺瘤为主;分析老年卵巢肿瘤患者相关因素发现,绝经期年龄与该病呈正相关,初潮年龄和妊娠次数与该病呈负相关,年龄和流产次数与该病无相关性. 结论 老年卵巢肿瘤中恶性肿瘤比例较高,临床重视老年卵巢肿瘤诱发因素,尽量做到早发现和早诊断,进而减少老年卵巢肿瘤恶性病变率以及提高其生活质量.

Objective To investigate the pathological features of ovarian tumors in elderly women.Methods We retrospectively analyzed clinical data of 124 elderly patients with ovarian cancer who were admitted to our hospital from January 2015 to December 2017.Results Among the 124 elderly patients with ovarian tumors,there were 6 borderline tumors,19 malignant tumors,and 99 benign tumors.Postmenopausal vaginal bleeding and lower abdominal pain were the main symptoms of ovarian cancer in elderly patients.The incidence of abdominal pain in patients with benign ovarian tumors was significantly higher than in patients with malignant tumors （x2 =5.813,P 〈0.05）;the incidence of postmenopausal vaginal bleeding in malignant tumors was significantly higher than in benign tumors（x2=8.123,P 〈0.05）;the major pathological type of benign ovarian tumors was mucinous cystadenoma,while serous cystadenoma was the most common type of malignant tumors.Analysis of related factors showed that menopausal age was positively correlated with,and menarche age and number of pregnancies were negatively correlated with ovarian tumors;and there was no correlation with number of abortions.Conclusions Malignant ovarian tumors are common in elderly women.Clinically,attention to risk factors,early detection and diagnosis will help further reduce the malignant transformation rate and improve the quality of life for patients.