妊娠合并卵巢肿瘤156例诊治分析  

Clinical diagnosis and treatment analysis of ovarian tumor during pregnancy in 156 cases

作　　者：彭惠媛 张颖[2] 马冬惠 

机构地区：[1]珠海市香洲区人民医院妇产科,广东省珠海519000 [2]广东省珠海市妇幼保健院病理科

出　　处：《中国基层医药》2011年第8期1067-1069,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：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。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 laparoscopie surgery should not affect the pregnancy outcome.

关 键 词：妊娠 卵巢肿瘤 CA125 AFP 

分 类 号：R737[医药卫生—肿瘤] R714[医药卫生—临床医学]