单纯性卵巢囊肿的手术评估。

Evaluation of surgery in simple ovarian cysts.

作者信息

Xiaoman Ding, Jinhua Leng, Jinghe Lang, Huajun Li

机构信息

Department of Gynecology and Obstetrics, Peking Union Medical College Hospital, CAMS & PUMC, Beijing 100730.

出版信息

Chin Med Sci J. 2003 Jun;18(2):93-6.

PMID:12903790

Abstract

OBJECTIVE

To evaluate the surgery in simple ovarian cysts.

METHODS

From Jan. 1994 to Dec. 1999, 221 women with simple ovarian cysts were admitted into our hospital. The diameter of cysts was < 5 cm in 76 cases, and was > or = 5 cm in 145 cases ultrasonically. One hundred and eighty-four patients underwent laparoscopy, and thirty-seven underwent laparotomy.

RESULTS

Histological findings showed no malignancy in this series. Simple cysts, paraovarian cysts and corpus luteum were found histologically in 90.8% of cases with cysts < 5 cm, and 60% of those with cysts > 7 cm respectively, their difference was significant (chi2=37.13, P<0.001). The simple cysts, paraovarian cysts and corpus luteum cysts were found in 81.5% of postmenopausal women and 84.0% of premenopausal women.

CONCLUSION

Patients with cysts > 7 cm are indicated for surgical procedures, while a period of followup is acceptable for patients with cysts < 7 cm, and surgery is advisable if the cyst is persistent during followup. Postmenopausal women with cysts should have operations.

摘要

目的

评估单纯性卵巢囊肿的手术治疗。

方法

1994年1月至1999年12月，我院收治221例单纯性卵巢囊肿患者。超声检查显示，囊肿直径<5 cm者76例，直径≥5 cm者145例。184例行腹腔镜手术，37例行剖腹手术。

结果

组织学检查结果显示本系列病例无恶性病变。囊肿<5 cm的病例中，90.8%组织学检查发现为单纯囊肿、卵巢冠囊肿和黄体囊肿；囊肿>7 cm的病例中，60%为上述情况，两者差异有显著性（χ2=37.13，P<0.001）。绝经后妇女中81.5%为单纯囊肿、卵巢冠囊肿和黄体囊肿，绝经前妇女中这一比例为84.0%。