妊娠合并卵巢肿物的临床分析  

Clinical treatment of ovarian tumors in pregnancy

作　　者：周晓美[1] 苏亦平[1] 

机构地区：[1]南京医科大学附属妇产医院妇科,南京医学硕士研究生210004

出　　处：《医学研究生学报》2018年第2期178-180,共3页Journal of Medical Postgraduates

基　　金：南京市2015年度科技发展计划项目(201503049)

摘　　要：目的妊娠期间对卵巢肿物进行干预可能会导致妊娠流产,继发并发症等。文中旨在研究探讨妊娠合并卵巢肿物的临床特征以及妊娠期间进行手术干预对妊娠结局的影响。方法回顾性分析南京医科大学附属妇产医院妇科2012年1月至2016年12月收治的176例妊娠合并卵巢肿物患者的临床资料。统计患者的临床特征、并发症情况、临床处理措施以及患者妊娠结局等。结果肿物直径<5 cm者34例、5~10 cm者112例、>10 cm者30例;三者并发症发生率分别为0%、13.4%、16.7%,两两比较差异有统计学意义(P<0.05)。20例患者出现并发症行急诊手术,其中5例因卵巢未坏死行患侧卵巢肿物剥除术,12例因卵巢坏死行患侧附件切除术,2例急性下腹痛合并卵巢肿物破裂,行患侧附件切除术;1例腹胀高度怀疑恶性,行右侧附件切除术。对141例患者妊娠结局分析显示,131例足月产、9例早产、1例流产。结论妊娠合并卵巢肿物患者应警惕并发症的发生,孕期进行手术干预安全可行。Objective Ovarian tumor intervention in pregnancy may lead to pregnancy-induced abortion, secondary compli- cations and so on. This study aimed to investigate the clinical characteristics of pregnancy associated with ovarian tumors and the impact of surgical intervention during pregnancy on pregnancy outcomes. Methods Retrospective analysis has been done on the clinical data of 176 cases with ovarian masses during pregnancy who had been treated, operated and pathologically diagnosed in the Obstetrics and Gynecology Hospital affiliated to Nanjing Medical University between January 2012 to December 2016. Results According to the di- ameter of ovarian tumors, 34 cases were less than 5cm, 112 cases were between 5 and 10 cm, 30 cases were more than 10cm and the corresponding morbidity were 0%, 13.4% and 16.7%. with significant difference between them （ P〈 0.05 ）. Emergency operations were done on 20 patients with complications, among which 5 patients undertook the ipsilateral enuclearion of ovarian tumors without no ovari- an necrosis, 12 patients undertook ipsilateral ovarian attachment resection due to ovarian necrosis, 2 patients undertook ipsilateral ovar- ian attachment resection due to acute lower abdominal pain with the rupture of tumors, 1 patient undertook right side attachment resec- tion due to bloating with high suspicion of malignancy. The analysis on the pregnancy outcomes of 141 cases showed 131 cases of term delivery, 9 cases of premature delivery and 1 case of abortion. Conclusion Pregnant patient with ovarian benign tumors should be alert to the occurrence of complications and surgical intervention during pregnancy is safe and feasible.

关 键 词：妊娠 卵巢肿物 临床特征 妊娠结局 

分 类 号：R714[医药卫生—妇产科学]