【摘要】 目的了解绝经后妇女卵巢肿瘤的临床及病理学特征。方法采用回顾性研究方法对 193例绝经后卵巢肿瘤患者的临床资料进行分析。结果卵巢恶性肿瘤占 37.3 % ,其中上皮性肿瘤占 6 5 .3 %。实性、囊实性、多房囊性肿瘤的恶性率明显高于单房囊性 (P <0 .0 1)。双侧卵巢肿瘤的恶性率明显高于单侧肿瘤 (P <0 .0 1)。有内科并发症者 10 6例 ,所有病例均行手术治疗 ,无手术引起的死亡及重大并发症。结论绝经后卵巢肿瘤的恶性率高 ,尤其是双侧实性、囊实性、多房囊性者。对老年妇女也应根据肿瘤的临床分期 ,尽早选择相应的手术治疗。更多还原

【Abstract】 ObjectiveTo investigate the clinicopathologic features of ovarian neoplasms in post-menopausal women.MethodsThe clinicopathologic records of 193 patients with ovarian tumors were retrospectively analyzed.ResultsOf 193 post-menopausal patients with ovarian neoplasms,patients with malignant tumors accounted for 37.3 %,and of these malignant diseases,the ovarian epithelial cancers accounted for 65.3 %.The rate of malignant tumors in solid,cyst-solid mixed,and multilocular cystic tumors was significantly higher than that in cystic tumors with single loculus (P< 0.001 ).The malignant rate in the bilateral ovarian tumors was significantly higher than that in the unilateral ones(P< 0.001 ).Of 193 patients,106 patients were accompanied by other diseases.All patients received operations,and no operation-related morbidety and mortality occured.ConclusionThe rate of malignant ovarian tumors in post-menopausal women is high,especially in patients with bilateral solid,cyst-solid mixed,and multilocular cystic tumors.Operation is the optimal treatment for post-menopausal patients with ovarian neoplasms.更多还原