中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2012年
6期
22-25
,共4页
于月新%李巨%陈红%任威%曲冬颖%陈佳%季鑫%王列
于月新%李巨%陳紅%任威%麯鼕穎%陳佳%季鑫%王列
우월신%리거%진홍%임위%곡동영%진가%계흠%왕렬
妊娠%卵巢肿瘤%妊娠结局%卵巢瘤样病变
妊娠%卵巢腫瘤%妊娠結跼%卵巢瘤樣病變
임신%란소종류%임신결국%란소류양병변
Pregnancy%Ovarian neoplasms%Pregnancy outcome%Ovarian tumor like condition
目的 探讨妊娠合并卵巢肿瘤及卵巢瘤样病变的临床特征、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248例经手术和病理诊断为妊娠合并卵巢肿瘤及卵巢瘤样病变患者的临床资料进行回顾性分析.结果 248例患者中,经盆腔检查发现8例,经超声检查发现184例.妊娠合并卵巢肿瘤及卵巢瘤样病变总发病率为0.49％(248/50 652).妊娠合并卵巢良性肿瘤131例(52.82％,131/248),以成熟囊性畸胎瘤最多见(22.18％,55/248)；妊娠合并卵巢瘤样病变113例(45.56％,113/248),以子宫内膜异位囊肿最多见(23.79％,59/248)；妊娠合并卵巢恶性肿瘤4例(1.61％,4/248).216例在孕期行手术治疗,足月产164例,早产19例,流产33例.结论 盆腔检查及超声检查在对妊娠合并卵巢肿瘤及卵巢瘤样病变的诊断和监测上具有重要意义,其治疗以肿瘤切除术为主,孕中期的手术干预是安全的.
目的 探討妊娠閤併卵巢腫瘤及卵巢瘤樣病變的臨床特徵、處理及對妊娠結跼的影響,為提高妊娠閤併卵巢腫瘤的診治水平提供資料.方法 對248例經手術和病理診斷為妊娠閤併卵巢腫瘤及卵巢瘤樣病變患者的臨床資料進行迴顧性分析.結果 248例患者中,經盆腔檢查髮現8例,經超聲檢查髮現184例.妊娠閤併卵巢腫瘤及卵巢瘤樣病變總髮病率為0.49％(248/50 652).妊娠閤併卵巢良性腫瘤131例(52.82％,131/248),以成熟囊性畸胎瘤最多見(22.18％,55/248)；妊娠閤併卵巢瘤樣病變113例(45.56％,113/248),以子宮內膜異位囊腫最多見(23.79％,59/248)；妊娠閤併卵巢噁性腫瘤4例(1.61％,4/248).216例在孕期行手術治療,足月產164例,早產19例,流產33例.結論 盆腔檢查及超聲檢查在對妊娠閤併卵巢腫瘤及卵巢瘤樣病變的診斷和鑑測上具有重要意義,其治療以腫瘤切除術為主,孕中期的手術榦預是安全的.
목적 탐토임신합병란소종류급란소류양병변적림상특정、처리급대임신결국적영향,위제고임신합병란소종류적진치수평제공자료.방법 대248례경수술화병리진단위임신합병란소종류급란소류양병변환자적림상자료진행회고성분석.결과 248례환자중,경분강검사발현8례,경초성검사발현184례.임신합병란소종류급란소류양병변총발병솔위0.49％(248/50 652).임신합병란소량성종류131례(52.82％,131/248),이성숙낭성기태류최다견(22.18％,55/248)；임신합병란소류양병변113례(45.56％,113/248),이자궁내막이위낭종최다견(23.79％,59/248)；임신합병란소악성종류4례(1.61％,4/248).216례재잉기행수술치료,족월산164례,조산19례,유산33례.결론 분강검사급초성검사재대임신합병란소종류급란소류양병변적진단화감측상구유중요의의,기치료이종류절제술위주,잉중기적수술간예시안전적.
Objective To explore the clinical characteristics,management and pregnancy outcome in patients with ovarian tumor and ovarian tumor like condition complicated with pregnancy.Methods The clinical data of 248 patients with ovarian tumor and ovarian tumor like condition eomplicated with pregnancy who treated,operated and pathology conducted from January 2003 to December 2009 was analyzed retrospectively.Results Among of 248 patients,8 patients were found by pelrioscopy,184 patients were found by sonography.The rate of ovarian tumor and ovarian tumor like condition during pregnancy was 0.49％ (248/50 652),about 52.82％(131/248)were diagnosed as benign tumor,most of them were ovarian mature teratoma(22.18％,55/248).About 45.56％(113/248)were diagnosed as ovarian tumor like condition,most of them were ovarian chocolatecyst(23.79％,59/248).Four patients(1.61％,4/248)were ovarian malignant tumor.Two hundred and sixteen received operation,term birth was in 164 patients,premature birth was in 19 patients,miscarriage was in 33 patients.Conclusions Pelvioscopy and sonogaraphy are principally important in the diagnosis and detection of ovarian tumor during pregnancy.Pregnancy complicated with ovarian tumor or ovarian tumor like condition should be treated by tumor resection.Suitable surgery intervention during second trimester is safe.
