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卵巢子宫内膜异位囊肿恶变危险因素回顾性分析

发布时间:2018-09-02 05:32
【摘要】:目的有卵巢子宫内膜异位囊肿的女性发生卵巢透明细胞癌和子宫内膜样腺癌的几率远大于没有的女性。本研究拟探讨卵巢子宫内膜异位囊肿恶变的相关危险因素,为临床的预防提供依据。方法回顾性分析2010-06-30-2015-12-31江苏省苏北人民医院收治的17例卵巢子宫内膜异位囊肿恶变患者(病例组)及51例良性卵巢子宫内膜异位囊肿患者(对照组)的临床资料,采用χ~2检验和Logistic回归分析探讨卵巢子宫内膜异位囊肿恶变的危险因素。结果单因素分析显示,年龄(P0.001)、囊肿直径(P=0.03)、绝经与否(P=0.006)、囊肿有乳头(P0.001)等因素和卵巢子宫内膜异位囊肿恶变相关。多因素Logistic回归分析显示,年龄≥49岁(OR=1.92,P0.05)、绝经(OR=3.09,P0.001)、囊肿直径≥11cm(OR=2.68,P0.05)、囊壁有乳头(OR=3.63,P0.05)为卵巢子宫内膜异位囊肿恶变的危险因素。结论年龄≥49岁、已绝经、囊壁有乳头、囊肿直径≥11cm是卵巢子宫内膜异位囊肿恶变的独立危险因素,该类患者囊肿恶变风险增大,应予以积极的干预治疗。
[Abstract]:Objective the incidence of ovarian clear cell carcinoma and endometrial adenocarcinoma in women with ovarian endometriosis cysts is much higher than that in women without ovarian endometriosis. The aim of this study was to investigate the risk factors of malignant transformation of ovarian endometriosis cysts and to provide evidence for clinical prevention. Methods the clinical data of 17 patients with malignant change of ovarian endometriosis cyst and 51 patients with benign ovarian endometriosis cyst (control group) treated by Jiangsu Provincial people's Hospital from June 30 to May 2015-31 were retrospectively analyzed. 蠂 2 test and Logistic regression analysis were used to study the risk factors of ovarian endometriosis. Results univariate analysis showed that age (P0.001), cyst diameter (P0. 03), menopause (P0. 006), cyst nipple (P0. 001) and other factors were associated with ovarian endometriosis cyst malignancy. Multivariate Logistic regression analysis showed that age 鈮,

本文编号:2218397

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