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目的:探讨老年妇女卵巢肿瘤的主要发病类型及手术的可行性。方法:回顾性分析2006年1月～2010年12月我院收治的老年妇女卵巢肿瘤患者56例。结果:全子宫加双附件切除术29例,其中3例同时行大网膜切除术,1例同时行盆腔淋巴结清扫术;次全子宫加双附件切除术1例;单纯附件切除术19例;肿瘤减灭术6例;1例78岁患者合并糖尿病、肝硬化,家属放弃进一步治疗,仅行盆腔肿块穿刺活检术,考虑低分化腺癌。结论:卵巢肿瘤早期临床症状不明显,位置隐匿、加之老年患者对疾病的反应差,多数患者就诊时已属晚期。老年妇女出现任何无法解释的腹胀、腹痛等症状时,排除消化系统疾病后,应作详细妇科检查,以免延误诊治。
Objective: To explore the main types of ovarian tumors in elderly women and the feasibility of surgery. Methods: A retrospective analysis of 56 cases of ovarian cancer patients admitted to our hospital from January 2006 to December 2010. Results: 29 cases were treated by total hysterectomy and double attachment resection, 3 cases underwent omental resection at the same time and 1 case underwent pelvic lymphadenectomy at the same time; 1 case underwent secondary hysterectomy and double attachment excision, 19 cases underwent simple annex excision, Tumor ablation in 6 cases; 1 78-year-old patients with diabetes, cirrhosis, family members to give up further treatment, only pelvic mass biopsy, consider poorly differentiated adenocarcinoma. Conclusion: The early clinical symptoms of ovarian cancer is not obvious, the location of concealment, combined with the poor response of elderly patients with the disease, the majority of patients are already treated late. Elderly women with any unexplained bloating, abdominal pain and other symptoms, the exclusion of digestive diseases, should be detailed gynecological examination, so as not to delay diagnosis and treatment.