妊娠合并卵巢肿瘤68例的临床治疗效果分析  

Clinical Effects of 68 Cases of Patients with Pregnancy Combined with Ovarian Cyst

作　　者：李晟辉[1] 汤丽荣[1] 

机构地区：[1]首都医科大学附属北京妇产医院,100025

出　　处：《医学研究杂志》2015年第6期110-112,共3页Journal of Medical Research

摘　　要：目的 研究分析68例妊娠合并卵巢肿瘤的治疗效果.方法 选取2013年4月～2014年1月于笔者医院住院的68例妊娠合并卵巢肿瘤的患者进行回顾性分析,分析研究妊娠合并卵巢肿瘤患者的发现方式及发现时间、卵巢肿瘤的发生部位、大小及不同的病理类型以及治疗的结局.结果 68例患者发现时间分别为孕前10例（14.71％）,孕早期11例（16.77％）,孕中期9例（13.24％）,孕晚期38例（55.88％）,其发现方式也是互不相同的;患者为左侧卵巢肿瘤35例,右侧30例,双侧3例.其肿瘤的直径≤5cm 24例,5～ 10cm 36例,＞10cm 8例.良性肿瘤67例（98.53％）,交界性的肿瘤1例（1.47％）;患者中有11例（16.18％）病症自然消失,9例（13.25％）进行手术治疗胎儿均可以顺利生产,3例（4.41％）实现自然分娩,42例（61.76％）为剖宫产,肿瘤蒂扭转2例（2.94％）,肿瘤破裂1例（1.47％）.结论 通过对患者的孕周以及肿瘤部位、大小、性质等因素的研究,并分析成功案例来选择适宜的手术治疗时机和方式,不但可以防止并发症的发生,而且不影响妊娠结局,对于确保孕妇和胎儿安全具有重要意义,值得临床进一步推广.Objective To explore the clinical effects of 68 patients with pregnancy combined with ovarian cyst. Methods Patients in hospital with pregnancy combined with ovarian cyst from April 2013 to January 2014 were included in the study. Sixty - eight cases were analyzed. Discovery mode, time, position, size and pathological types, treatment outcomes were evaluated. Results Among the sixty eight cases of patients with pregnancy combined with ovarian cyst, the discovery mode and time were different. 10 patients （14.71%） were discovered before conception as 11 patients （ 16.77% ） , 9 patients （ 13.24% ） and 38 patients （55.88%） found ovarian tumor dur- ing the first, second and last trimester, separately. 35 cases were left ovarian cyst as 30 cases were right ovarian cyst, only 3cases were bilateral. The size of ovarian cyst was also compared, the diameter of 24 cases was not more than 5cm, 36 cases were from 5cm to 10cm, and 8 cases were cyst diameter greater than 10cm. Finally, the treatment outcomes and delivery mode were analyzed. 11 cases of patients （16.18%） were cyst disappearance, 9 cases （13.25%） were with surgery and delivered successfully, 3 cases （4.41%） were natural delivery as 42 cases （61.76%） were delivered by cesarean section, 2 cases （2.94%） were complicated with pedicle torsion of ovarian cyst and 1 case （1.47%） was with cyst rupture. The pathological types analysis showed that 67 cases （98.53%） were benign and 1 case （ 1.47% ） was borderline tumor. Conclusion The study of the gestation, ovarian cyst position, size and pathology in patients with preg- nancy combined with ovarian cyst is helpful to choose the proper timing and approach of surgery. And then, pregnancy complications can be prevented, and the safety of gravitate and fetus can be guaranteed.

关 键 词：妊娠 卵巢肿瘤 临床效果 

分 类 号：R713.6[医药卫生—妇产科学]