CAJ | 학술논문

目的：探讨妊娠合并卵巢包块的处理对策。方法对扬州市妇幼保健院2006～2011年收治的152例妊娠合并卵巢包块患者进行回顾性分析。结果152例患者中，产前手术治疗54例，孕足月剖宫产术中发现卵巢包块并手术98例；其中卵巢良性肿瘤147例，交界性肿瘤3例，恶性肿瘤2例。良性肿瘤患者行肿瘤剥除术；交界性肿瘤行患侧卵巢肿瘤剥除术；1例恶性肿瘤行患侧附件切除＋分期手术，1例行患侧肿瘤切除术。所有患者除1例失访，其余母儿结局均良好。结论妊娠合并卵巢包块大多为良性肿瘤，孕期卵巢恶性肿瘤分期早，预后好；处理方案个体化，恰当治疗不影响母儿结局；卵巢恶性肿瘤的处理需综合考虑母儿健康情况。
목적：탐토임신합병란소포괴적처리대책。방법대양주시부유보건원2006～2011년수치적152례임신합병란소포괴환자진행회고성분석。결과152례환자중，산전수술치료54례，잉족월부궁산술중발현란소포괴병수술98례；기중란소량성종류147례，교계성종류3례，악성종류2례。량성종류환자행종류박제술；교계성종류행환측란소종류박제술；1례악성종류행환측부건절제＋분기수술，1례행환측종류절제술。소유환자제1례실방，기여모인결국균량호。결론임신합병란소포괴대다위량성종류，잉기란소악성종류분기조，예후호；처리방안개체화，흡당치료불영향모인결국；란소악성종류적처리수종합고필모인건강정황。
Objective To discuss the management strategy of ovarian masses during pregnancy .Methods 152patientswithovarianmassesinpregnancyadmittedtoYangzhouMunicipalMaternalandChildHealthHospital from January 2006 to December 2011were retrospectively analyzed .Results In the 152 cases, 54 cases underwent antepartum surgery , 98 patients were found ovarian masses and underwent surgery during cesarean section .147 cases were benign ovarian tumors , 3 cases were borderline tumors and 2 cases were malignant tumors .Patients with benign tumors were conducted tumor resection , patients with borderline tumors were conducted unilateral ovarian cystectomy , 1 case with malignant tumors underwent unilateral salpingo oophorectomy and staging operation , the other case underwent unilateral tumor resection .Maternal and fetal outcomes of all patients were good except 1 case lost follow-up.Conclusion The majority of ovarian masses diagnosed in pregnancy are benign .Ovarian malignancy during pregnancy are typically early stage with good prognosis .Management of ovarian masses in pregnancy should be individualized.Suitable treatment does not influence the outcome of the pregnancy .Management for patients with ovarian malignancy during pregnancy should comprehensively consider maternal and fetal health situation .