105例妊娠合并卵巢肿瘤的临床分析  

Clinical Analysis and Pregnancy Outcome of 105 Patients with Ovarian Tumor During Pregnancy

作　　者：唐莉[1] 韦励[1] 叶建明[1] 

机构地区：[1]广东省东莞市人民医院妇产科,广东东莞523000

出　　处：《中国医药指南》2014年第30期52-53,共2页Guide of China Medicine

摘　　要：目的探讨妊娠合并卵巢肿瘤的诊断、临床特征、处理方法和对妊娠结局的影响。方法回顾性分析东莞市人民医院2007年1月至2012年12月期间收治妊娠合并卵巢肿瘤105例病例的临床诊治及妊娠结局。结果 105例妊娠合并卵巢肿瘤患者中62例(59.0%)于孕早中期发现,孕期发生蒂扭转14例(13.3%),破裂6例(5.7%)。其中良性肿瘤102例(97.1%),交界性肿瘤2例(1.9%),恶性肿瘤1例(0.1%)。105例均行手术治疗,1例早孕终止妊娠,1例流产,103例婴儿均健康。结论在孕期选择适宜的手术时机及手术方式治疗妊娠合并卵巢肿瘤的患者不影响母婴预后。Objective To explore the clinical analysis, management and pregnancy outcome in patient with ovarian tumor during pregnancy. Methods The clinical data of 105 ovarian tumor who treated, operated and pathology conducted from January 2007 to December 2012 during pregnancy were analyzed retrospectively. Results 59.0%（62 cases）of the 105 were diagnosed during the first or the second trimesters. Torsion happened in14 out of them which constitute 13.3% in total, and rupture dappened in another 6 cases（5.7%）. In 105 cases of patients with ovarian tumors, benign tumors were 102 cases（97.1%）, borderline tumor was one case（0.1%）, malignant ovarian tumor was one case（0.1%）. Among 105 cases, one case was abortion, one gave up the fetus, and the remaining 103 fetuses were healty. Conclusion The appropriate surgical treatment timing and surgical approach are safe for both of the patients with ovarian tumor during pregnancy and fetus.

关 键 词：妊娠 卵巢肿瘤 卵巢囊肿蒂扭转 妊娠结局 

分 类 号：R737.31[医药卫生—肿瘤]