子宫内膜异位症(EM)瘤变23例分析
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This study analyzed 23 cases of ovarian endometriosis, identifying risk factors for malignant transformation including age over 45, changes in symptoms, rapid mass growth, large cyst diameter, and papillary projections or abundant blood flow on ultrasound.
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Abstract
目的探讨卵巢子宫内膜异位症(endometriosis,EM)瘤变的临床特点、超声图像特征及预后。方法回顾性分析23例卵巢EM瘤变的临床、超声及病理资料,随访其预后。结果卵巢EM恶变的高危因素有年龄〉45岁,特别是绝经后女性,异常阴道流血、腹痛性质改变,超声提示包块短期内迅速增大、囊肿直径〉8cm、囊壁见乳头或血流丰富。随访Ⅰ期患者16例均未见复发;Ⅲ~Ⅳ期患者3例均死亡。结论联合病史和经阴道彩色多普勒超声检查是早发现卵巢EM恶变的有效方法。
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- last seen: 2026-06-10T17:14:06.276822+00:00
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