231例卵巢交界性浆液性肿瘤的临床病例分析

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1、万方数据浙江大学硕士学位论文英文摘要Clinicalanalysisof231casesof一1hl●●■、●rn3er0USB0rnerIlneUVarlanlUmorZhejiangUniversitySchoolofMedicineOB’ⅢCTIVEObstetricsandGynecologyPostgraduate：XiaopingHuaSupervisor：XiaoyunWanAbstractThisstudywasundertakenretrospectivelytodiscussthecharacterist

2、icsofborderlineovarytumor(BOT)，emphasizedonserousBOW,andtoexploretheprognosisoffertilitypreservedtreatment，aswellastheriskfactorsofrecurrence．MATEIUALSANDT讧ETHODS：231medicalrecordsofpatients，whosepathologicalresultswasconfirmedasserous，atypeofBOT,fromJanuary2004toD

3、ecember2013atWomen’SHospitalSchoolofMedicineZhejiangUniversitywereanalyzed．Theclinicalcharacteristicsandpathologicalfeaturesofthesepatientswereanalysed．RESULTS：Theaverageageof231patientsWaS34．8yearsold(rangefrom16to68)．181patientsweresuccessfullyfollowed，31patients

4、sufferedrecurrence，however,noneofIV万方数据浙江大学硕士学位论文英文摘要themdiedduringthisperiod．TheCAl25levelofthesepatientswasbetween6．4IU／Land3835IU／L．Pelvicmasswasthemostcommonchiefcomplaint．Thepatientsinstage1weretendtoadoptconservedsurgicaltreatment．Therewasobviousstatisticsign

5、ificanceinthecompassionoftheincidenceofSBOTatdifferentage(P<0．05)，aswellastherecurrenceoftumorwithdifferentclinicalstageandtheimplantationoftumorinperitonaeum(P<0．05)．Comparedwithradicalsurgery,therecurrentincidenceoftumorinconservedsurgerywasmuchhigher(P<0．05)．Als

6、o，arelationshipbetweenrecurrenceandunilateralorbilateral，maximumtumordiameterandsurgicalmannerwasfoundinthisstudy．Moreover,therecurrentincidenceoftumorinpatientswi也lymphnodesexcisionwaslowerthanthatoflymphnodespreserved(P<0．05)，however,tllesurvivalrateWasalmostthes

7、ameConclusions：SBOToftenoccurredinchild—bearingwomen，fast丘ozenpathologyofresectedspecimenduringsurgeryWascrucialforthediagnosisandtheselectionofsurgicalmanner,andsurgerywasthemainwaytodealwithSBOT．TherecurrentincidenceofSBOTwithconservedsurgeryWashigherthanthatwith

8、radicalone．Foryoungpatientswithfertilityrequirementatearlystage，conservativeoperationWasfeasible，however，forpatientswithoutfertilitydesire，comple