231例卵巢交界性漿液性腫瘤的臨床病例分析

231例卵巢交界性漿液性腫瘤的臨床病例分析

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時(shí)間:2019-02-18

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1、萬方數(shù)據(jù)浙江大學(xué)碩士學(xué)位論文英文摘要Clinicalanalysisof231casesof一1hl●●■、●rn3er0USB0rnerIlneUVarlanlUmorZhejiangUniversitySchoolofMedicineOB’ⅢCTIVEObstetricsandGynecologyPostgraduate:XiaopingHuaSupervisor:XiaoyunWanAbstractThisstudywasundertakenretrospectivelytodiscussthecharacterist

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

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

4、sufferedrecurrence,however,noneofIV萬方數(shù)據(jù)浙江大學(xué)碩士學(xué)位論文英文摘要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

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