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目的:分析316例成熟畸胎瘤病例的临床特点。方法:对大连市妇产医院2003～2007年收治的卵巢成熟畸胎瘤316例的临床特点进行回顾分析。结果:患者平均年龄28岁(34.7±9.8),20～40岁占总数的75%,70.6%的患者是在妇科普查时发现,4.4%的患者自己发现有腹部包块存在,69.3%的患者无任何不适症状。术前B超检查提示以混合性包块的表现居多,98%在术前即可通过B超提示畸胎瘤的诊断。结论:卵巢成熟畸胎瘤是育龄妇女最常见的一种卵巢肿瘤,临床处理上应以腹腔镜为主,可替代开腹手术。
Objective: To analyze the clinical features of 316 cases of mature teratoma. Methods: The clinical features of 316 cases of mature ovarian teratoma admitted to Dalian Maternity Hospital from 2003 to 2007 were retrospectively analyzed. Results: The mean age of patients was 28 years old (34.7 ± 9.8), accounting for 75% of the total number of patients aged from 20 to 40 years. 70.6% of the patients were found in gynecological census. 4.4% of the patients found abdominal mass themselves, 69.3% Without any symptoms. B-ultrasound preoperative findings suggest that the majority of mixed masses, 98% of the preoperative diagnosis of teratoma by B-ultrasound. Conclusion: Ovarian mature teratoma is one of the most common ovarian neoplasms in women of childbearing age. Laparoscopy should be the main method in clinical treatment, which can replace laparotomy.