摘要
目的探讨妊娠合并卵巢肿瘤的临床特征、处理及对妊娠结局的影响,为提高妊娠合并卵巢肿瘤的诊治水平提供资料。方法对解放军第二○二医院2003年1月～2009年12月收治的248例经手术和病理诊断确诊的妊娠合并卵巢肿瘤患者的临床资料进行回顾性分析。结果本组病例妊娠合并卵巢肿瘤发生率为0.49%,其中妊娠合并卵巢良性肿瘤131例(52.82%),以成熟性畸胎瘤最多见(22.18%);瘤样病变113例,占45.57%,以子宫内膜样囊肿及黄体囊肿多见;恶性肿瘤4例,占1.61%。212例患者行肿瘤切除术或附件切除术,4例妊娠合并卵巢恶性肿瘤患者中3例接受了术后化疗。常规产前检查及超声诊断病例192例,占孕期发现总例数的77.42%;有14例出现并发症行急诊手术,扭转9例,破裂5例;67例选择孕14～18周手术治疗,57例妊娠至足月。结论盆腔检查及超声检查在对妊娠期卵巢肿瘤的诊断和监测上具有重要意义,妊娠合并卵巢肿瘤治疗以肿瘤切除术为主,孕中期的手术干预是安全的。
Objective To explore the clinical characteristics and management of ovarian tumor complicated by pregnancy and its influence on the pregnancy outcome, so as to provide diagnostic and therapeutic experiences. Meth- ods A total of 248 cases were surgically and pathologically diagnosed as ovarian tumor complicated by pregnancy in The 202 Military Hospital from January, 2003 to December, 2009, and their clinical data were analyzed retrospectively. Results The incidence rate of ovarian tumor complicated by pregnancy was 0.49%. Among total 248 cases, 131 （52.82%） were benign tumors, of which 22.18% were ovarian mature teratomas; 113 （45.57%） were tumourlike lesions, of which most were ovarian chocolatecyst and lutealcyst, and 4 （1.61%） were malignant tumors. There were 212 cases treated by tumorectomy or salpingo-oophorectomy, and 3 of 4 cases with malignant tumors took postoperative chemotherapy. A total of 192 cases were diagnosed by regular antenatal care and ultrasound examination, accounting for 77.42% of the total sample size found during pregnancy. Among 14 cases receiving emergency operations, 9 were complicated by torsion, and the other 5 were by rupture. There were 67 cases receiving operation from the 14th to 18th gestational week, and 57 cases had full-time pregnancy. Conclusion Ultrasonography and pelvioscopy are of principal importance in the diagnosis and detection of ovarian tumor complicated by pregnancy which should be treated by tumorectomy, and suitable surgery in- tervention during second trimester is safe.
出处
《中国循证医学杂志》
CSCD
2013年第2期245-248,共4页
Chinese Journal of Evidence-based Medicine
关键词
妊娠
卵巢肿瘤
妊娠结局
Pregnancy
Ovarian tumor
Pregnancy outcome
