临床医药文献电子杂志
臨床醫藥文獻電子雜誌
림상의약문헌전자잡지
Journal of Clinical Medical Literature (ElectronicEdition)
2015年
2期
218-218,220
,共2页
妊娠合并卵巢肿瘤%治疗方法%治疗效果
妊娠閤併卵巢腫瘤%治療方法%治療效果
임신합병란소종류%치료방법%치료효과
Pregnancy with ovarian tumor%Treatment%Treatment effect
目的：探讨妊娠合并卵巢肿瘤的治疗方法和疗效。方法回顾本院收治的120例妊娠合并卵巢肿瘤患者的临床资料，统计其诊断方法、治疗方式、病理类型、妊娠结局。结果120例妊娠合并卵巢肿瘤患者中，妊娠合并卵巢良性肿瘤者64例，占比53.33%，其中成熟性畸胎瘤20例，占比31.25%；瘤样病变53例，占比44.4%；恶性肿瘤3例，占比2.5%。108例患者采用肿瘤切除术或附件切除术进行治疗，3例妊娠合并卵巢恶性肿瘤患者有2例进行术后化疗。有94例患者通过产前检查、B超检查确诊，占比78.33%；12例患者因出现并发症进行急诊手术时确诊，其中卵巢囊肿破裂4例，卵巢囊肿蒂扭转8例。足月分娩98例，早产13例，流产9例。结论产前检查、B超检查在确诊妊娠合并卵巢肿瘤方面发挥重要作用，临床上，妊娠合并卵巢肿瘤多以良性良性肿瘤为主，治疗该疾病的主要手段为肿瘤切除术或附件切除术；经过有效治疗，足月妊娠率较高。
目的：探討妊娠閤併卵巢腫瘤的治療方法和療效。方法迴顧本院收治的120例妊娠閤併卵巢腫瘤患者的臨床資料，統計其診斷方法、治療方式、病理類型、妊娠結跼。結果120例妊娠閤併卵巢腫瘤患者中，妊娠閤併卵巢良性腫瘤者64例，佔比53.33%，其中成熟性畸胎瘤20例，佔比31.25%；瘤樣病變53例，佔比44.4%；噁性腫瘤3例，佔比2.5%。108例患者採用腫瘤切除術或附件切除術進行治療，3例妊娠閤併卵巢噁性腫瘤患者有2例進行術後化療。有94例患者通過產前檢查、B超檢查確診，佔比78.33%；12例患者因齣現併髮癥進行急診手術時確診，其中卵巢囊腫破裂4例，卵巢囊腫蒂扭轉8例。足月分娩98例，早產13例，流產9例。結論產前檢查、B超檢查在確診妊娠閤併卵巢腫瘤方麵髮揮重要作用，臨床上，妊娠閤併卵巢腫瘤多以良性良性腫瘤為主，治療該疾病的主要手段為腫瘤切除術或附件切除術；經過有效治療，足月妊娠率較高。
목적：탐토임신합병란소종류적치료방법화료효。방법회고본원수치적120례임신합병란소종류환자적림상자료，통계기진단방법、치료방식、병리류형、임신결국。결과120례임신합병란소종류환자중，임신합병란소량성종류자64례，점비53.33%，기중성숙성기태류20례，점비31.25%；류양병변53례，점비44.4%；악성종류3례，점비2.5%。108례환자채용종류절제술혹부건절제술진행치료，3례임신합병란소악성종류환자유2례진행술후화료。유94례환자통과산전검사、B초검사학진，점비78.33%；12례환자인출현병발증진행급진수술시학진，기중란소낭종파렬4례，란소낭종체뉴전8례。족월분면98례，조산13례，유산9례。결론산전검사、B초검사재학진임신합병란소종류방면발휘중요작용，림상상，임신합병란소종류다이량성량성종류위주，치료해질병적주요수단위종류절제술혹부건절제술；경과유효치료，족월임신솔교고。
Objective To explore the treatment method and treatment of pregnancy with ovarian tumor effect. Methods Retrospective in our hospital treated 120 cases of pregnancy with ovarian tumor patients'clinical data,statistical its diagnosis methods,treatment,pathological type,the pregnancy outcome. Results 120 cases of pregnancy with ovarian tumor patients,64 cases of pregnancy with ovarian benign tumor,accounted for 53.33%,including 20 cases maturity teratoma and accounted for 31.25%;Pathological changes of 53 cases of tumor samples,accounted for 44.4%;3 cases of malignancy,accounted for 2.5%.108 patients treated with tumor resection or adnexectomy,3 cases of pregnancy with ovarian malignant tumor patients with postoperative chemotherapy in 2 cases.94 patients by antenatal examination,ultrasound diagnosis,accounted for 78.33%; 12 patients with complications after undergoing emergency surgery diagnosed,including 4 cases of ovarian cyst burst,ovarian cyst torsion 8 cases.98 cases of term birth,13 cases of premature birth,abortion in 9. Conclusion Antenatal examination,B ultrasonic examination play an important role in diagnosis of pregnancy with ovarian tumor,clinically,pregnancy with ovarian tumor is given priority to with benign benign tumors,the principal means of treatment of the disease for tumor resection or appendix resection;After effective treatment,full-term pregnancy rate is higher.
