CAJ | 학술논문

目的：分析妊娠合并卵巢肿瘤和子宫肌瘤的临床特征、诊断及其治疗。方法：回顾性分析2010年1月－2012年8月我院产科妊娠合并卵巢肿瘤59例、妊娠合并子宫肌瘤（肌瘤直径大于4cm）患者265例临床资料，分析妊娠合并卵巢肿瘤、妊娠合并子宫肌瘤患者的临床资料、诊断时间、治疗等。结果：妊娠合并卵巢肿瘤患者平均孕次以及无临床自觉症状百分率显著高于妊娠合并子宫肌瘤患者（P ＜0．05）；妊娠合并卵巢肿瘤患者彩超诊断准确率89．83％，妊娠合并子宫肌瘤患者彩超诊断准确率为85．28％，两组比较，差异无统计学意义（P ＞0．05）；在59例妊娠合并卵巢肿瘤患者中，53例行剖宫产，剖宫产术中同时实施手术患者53例，占剖宫产人数的100．00％，实施卵巢肿瘤剥除加卵巢成形术患者43例（81．13％）、行患侧附件切除术患者10例（18．87％）；在265例妊娠合并子宫肌瘤患者中，164例行剖宫产，剖宫产术中同时行肌瘤剔除术患者135例，占剖宫产人数的82．32％。结论：妊娠合并卵巢肿瘤患者无明显的临床症状；彩超诊断对与妊娠合并卵巢肿瘤、妊娠合并子宫肌瘤具有着重要的应用价值；在严格控制患者病情、掌握手术指征的情况下，剖宫产同时行手术治疗是一种良好的治疗方式。
목적：분석임신합병란소종류화자궁기류적림상특정、진단급기치료。방법：회고성분석2010년1월－2012년8월아원산과임신합병란소종류59례、임신합병자궁기류（기류직경대우4cm）환자265례림상자료，분석임신합병란소종류、임신합병자궁기류환자적림상자료、진단시간、치료등。결과：임신합병란소종류환자평균잉차이급무림상자각증상백분솔현저고우임신합병자궁기류환자（P ＜0．05）；임신합병란소종류환자채초진단준학솔89．83％，임신합병자궁기류환자채초진단준학솔위85．28％，량조비교，차이무통계학의의（P ＞0．05）；재59례임신합병란소종류환자중，53례행부궁산，부궁산술중동시실시수술환자53례，점부궁산인수적100．00％，실시란소종류박제가란소성형술환자43례（81．13％）、행환측부건절제술환자10례（18．87％）；재265례임신합병자궁기류환자중，164례행부궁산，부궁산술중동시행기류척제술환자135례，점부궁산인수적82．32％。결론：임신합병란소종류환자무명현적림상증상；채초진단대여임신합병란소종류、임신합병자궁기류구유착중요적응용개치；재엄격공제환자병정、장악수술지정적정황하，부궁산동시행수술치료시일충량호적치료방식。
Objective:To investigate the clinical features,diagnosis and treatment of patients with ovarian tumor in pregnancy and myoma of uterus.Methods:To a retrospectively analyze clinical data of 59 patients with myoma of ute-rus,pregnancy 265 patients with ovarian tumor.Results:The patients with ovarian tumor in pregnancy average preg-nancy and no clinical symptoms were significantly higher than in patients with pregnancy complicated with uterine my-oma(P <0.05).Color Doppler ultrasound in the diagnosis of patients with ovarian tumor in pregnancy,the accuracy rate was 89.83%,pregnancy complicated with uterine myoma patients with color Doppler ultrasound diagnostic accu-racy rate was 85.28%(P >0.05).59 cases of pregnancy with ovarian tumor,53 cases of cesarean section,cesarean section at the same time the implementation of 53 cases of patients with cesarean section operation,accounting for 100% of the number of ovarian tumor,stripping and ovary forming of 43 patients(81.13%),10 cases treated with re-section of lateral attachment(18.87%).In 265 cases of pregnancy complicated with uterine myoma patients,164 ca-ses of cesarean section,cesarean section and myomectomy in patients with cesarean section in 135 cases,accounting for 82.32%.Conclusion:Patients with ovarian tumor in pregnancy had no obvious clinical symptoms,color Doppler ultrasound in diagnosis of ovarian tumors,and associated with pregnancy and myoma of uterus pregnancy has important value.