本文選題：卵巢交界性腫瘤 + 保留生育功能手術(shù)��； 參考：《蚌埠醫(yī)學(xué)院》2017年碩士論文

【摘要】：目的分析年輕卵巢交界性腫瘤患者保留生育治療的現(xiàn)狀及復(fù)發(fā)情況,同時評估患者卵巢儲備功能,進一步分析保留生育功能患者術(shù)后月經(jīng)恢復(fù)情況及妊娠結(jié)局。方法收集2010年6月至2015年5月共5年期間在蚌埠醫(yī)學(xué)院第一附屬醫(yī)院婦科及婦瘤科收住院的年齡≤40歲,因卵巢交界性腫瘤行保留生育功能治療的49例患者,分析臨床特點,并隨訪術(shù)后復(fù)發(fā)、月經(jīng)恢復(fù)及妊娠情況,進行統(tǒng)計學(xué)分析。結(jié)果年齡≤40歲的53例患者有3例失訪,有1例未行保留生育手術(shù),納入研究的資料完整的患者49例,平均發(fā)病年齡為28.1±5.3歲。其中FIGOⅠ期39例(79.59%)。組織病理學(xué)以漿液性和黏液性最多見(48例,97.96%)。49例患者行保留生育功能手術(shù),平均隨訪44.5月(16-76月),有5例復(fù)發(fā)(10.20%),術(shù)后月經(jīng)恢復(fù)12例(24.49%),術(shù)后妊娠10例(20.41%)。腫瘤FIGO分期、組織學(xué)類型、手術(shù)方式與腫瘤復(fù)發(fā)存在統(tǒng)計學(xué)相關(guān)性(P0.05);而術(shù)前CA125水平、術(shù)后是否化療、是否累及雙側(cè)卵巢、月經(jīng)恢復(fù)及是否妊娠等與復(fù)發(fā)不存在統(tǒng)計學(xué)相關(guān)性,即與復(fù)發(fā)無關(guān)。結(jié)論卵巢交界性腫瘤發(fā)病年齡較輕,發(fā)現(xiàn)期別較早,預(yù)后好,但存在復(fù)發(fā)風(fēng)險。復(fù)發(fā)的高危因素包括腫瘤FIGO分期、組織學(xué)類型、手術(shù)方式。保留生育功能手術(shù)治療可行,但需長期密切隨訪,術(shù)后一般不建議化療,術(shù)后可妊娠,但要選擇合適的妊娠時機,分娩后的處理需根據(jù)患者個人情況而定。
[Abstract]:Objective to analyze the status quo and recurrence of fertility retention therapy in young patients with borderline ovarian tumors, and to evaluate the reserve function of ovary, and to analyze the recovery of menstruation and pregnancy outcome after operation in patients with borderline ovarian tumors. Methods from June 2010 to May 2015, 49 patients with ovarian borderline tumors who were admitted to the Department of Gynecology and Gynecology of the first affiliated Hospital of Bengbu Medical College, aged less than 40 years, were enrolled in the study, and their clinical features were analyzed. And follow up the recurrence, menstrual recovery and pregnancy, statistical analysis. Results three of the 53 patients aged 鈮，

本文編號：1859732