CAJ | 학술논문

目的探讨妊娠合并卵巢肿瘤的临床特点、诊断与治疗.方法回顾性分析156例经手术及病理诊断妊娠合并卵巢肿瘤患者的临床资料.结果妊娠期良性肿瘤152例,占97.44%,以生殖细胞肿瘤及浆液性囊腺瘤多见,交界性浆液性乳头状囊腺瘤2例,部分性未成熟畸胎瘤1例,未成熟畸胎瘤1例.孕早期超声诊断67例,占孕期发现总例数的80.72%(67/83).有17例出现并发症行急诊手术,扭转10例,破裂7例;择期手术43例,其中开腹手术39例,腹腔镜手术4例,术前18例行CA125检查,升高13例,术前10例行AFP检查,升高7例,足月分娩152例,占97.44%.结论妊娠期卵巢肿瘤以良性居多,超声联合肿瘤标志物检查是重要的诊断、监测手段,手术方式根据肿瘤性质、孕周、患者意愿进行个体化治疗,适时开腹手术或腹腔镜手术并不影响妊娠结局.
목적 탐토임신합병란소종류적림상특점、진단여치료.방법 회고성분석156례경수술급병리진단임신합병란소종류환자적림상자료.결과 임신기량성종류152례,점97.44%,이생식세포종류급장액성낭선류다견,교계성장액성유두상낭선류2례,부분성미성숙기태류1례,미성숙기태류1례.잉조기초성진단67례,점잉기발현총례수적80.72%(67/83).유17례출현병발증행급진수술,뉴전10례,파렬7례;택기수술43례,기중개복수술39례,복강경수술4례,술전18례행CA125검사,승고13례,술전10례행AFP검사,승고7례,족월분면152례,점97.44%.결론 임신기란소종류이량성거다,초성연합종류표지물검사시중요적진단、감측수단,수술방식근거종류성질、잉주、환자의원진행개체화치료,괄시개복수술혹복강경수술병불영향임신결국.
Objective To explore the ovarian tumor's characteristics, diagnosis and treatment during pregnancy.Methods A retrospective analysis of 156 cases of ovarian tumor was carried out.Results About 152 cases were dignosed as benign,accounting for 97.44%.The majority of which were demoid cysts and grout cystadenomas,two cases were bordline grout papillary cystaadenoma,other 2 cases,one was some of immature teratoma, another was immature teratoma.67 cases were diagnosed by ultrasound during the first trimester, accountting for 80.72%, among 17 urgent operations,10 cases caused by torsion,7 cases caused by rupture.43 cases operated by term,among which 39 cases were tradion operations,4 cases were laparoscopic surgery.18 cases made the examination of CA125 before operation,as a result,13 cases elevated,AFP examination were made in 10 cases,7 cases elevated.Full-term birth was in 152 patients, accounting for 97.44%.Conclusion Majority ovarian tumor during prenaney were benign;Ultrasound examination combined with tumor marker were important in diagnosis and detection ovarian tumor during pregnancy; The individual operation therapy should be chosen, according to the tumor's properties, gestational weeks, and patients' will;Timely open surgery or laparoscopic surgery should not affect the pregnancy outcome.