207例卵巢成熟畸胎瘤的临床诊治分析

The Clinical Diagnosis and Treatment of 207 Cases of Ovarian Mature Teratoma

目的分析207例卵巢成熟畸胎瘤病例的临床特点。方法选取北京怀柔医院2008年1月至2018年11月住院的卵巢成熟畸胎瘤患者207例,总结其临床特点并进行分析。结果肿瘤以单侧多见;彩超是诊断畸胎瘤的首选检查方法;CA199阳性组与正常组在患者年龄、肿瘤大小及单双侧方面差异有统计学意义;并发症以扭转最为常见,发生扭转的肿瘤直径相对稍大些。结论CA199在卵巢成熟畸胎瘤诊治方面意义很大;腹腔镜手术为卵巢成熟畸胎瘤首选的手术方式,对侧卵巢外观无异常可不予剖视。

Objective The clinical features of 207 cases of ovarian mature teratoma were analyzed.Methods 207 cases of ovarian mature teratoma hospitalized from January 2008 to November 2018 in Huairou Hospital of Beijing were selected and their clinical features were summarized and analyzed.Results Most tumors were found on one side.Color Doppler ultrasound is the preferred method for the diagnosis of teratoma.There were significant differences in age,tumor size and unilateral and bilateral between CA199 elevation group and normal group.Torsion is the most common complication,and the tumor with torsion is a little larger in diameter.Conclusion CA199 is of great significance in the diagnosis and treatment of ovarian mature teratoma.Laparoscopic surgery is the first choice for mature teratoma of the ovary.If the contralateral ovary has no abnormal appearance,it may not be dissected.