妊娠合并恶性肿瘤临床分析  

Clinical Study on Pregnancy Complicated with Malignant Tumor

作　　者：王丽琴 郭玉峰 樊杨[1] 马红霞 黄录英 王荟 WANG Liqin;GUO Yufeng;FAN Yang;MA Hongxia;HUANG Luying;WANG Hui(People's Hospital of Ningxia Hui Autonomous Region,Yinchuan 750011,China)

机构地区：[1]宁夏回族自治区人民医院,银川750011

出　　处：《宁夏医科大学学报》2021年第8期850-853,共4页Journal of Ningxia Medical University

摘　　要：目的分析妊娠合并恶性肿瘤的临床特征、孕期处理和妊娠结局。方法收集13例妊娠合并恶性肿瘤患者的临床资料进行回顾性分析。结果妊娠合并恶性肿瘤检出率为0.03%,其中生殖系统恶性肿瘤4例(30.8%),非生殖系统恶性肿瘤9例(69.2%)。孕期期待治疗7例,化疗1例,癌灶切除手术2例。足月分娩6例,早产4例,引产2例,孕期死亡1例。分娩新生儿10例,均为活产。其中剖宫产分娩9例,顺娩1例。结论全面的孕、产前筛查,重点高危人群的孕期管理在妊娠合并恶性肿瘤的诊断和监测上具有重要意义,多科室协作、个体化治疗是妊娠合并恶性肿瘤治疗的关键。Objective To investigate the clinical characteristics and management,pregnancy outcome of pregnancy with malignancy tumor.Methods A retrospective study was conducted in 13 pregnant women with malignancy tumor.Results Among the 13 cases,the detection rate of pregnancy complicated with malignancy tumor is 0.03%.Four patients were reproductive system malignancies accounted for 30.8%,9 patients were non reproductive system malignancies accounted for 69.2%.As a result,7 patients expected treatment,1 chose chemotherapy,2 chose opertation.6 cases were full-term neonates,4 cases exposed preterm birth,2 patient performed induced abortion during pregnancy,and 1 patient died during pregnancy.10 neonates were delivered,all of which were live births.9 cases were delivered by cesarean section and 1 was delivered by vaginal delivery.Conclusion Comprehensive pre-pregnancy and antenatal screening,the pregnancy management of key high-risk groups was of great significance in diagnosis and monitoring of pregnancy with complicated malignancy tumor,and multi-department collaboration,personalized healthcare strategy is the key to the medical treatment of pregnancy with malignancy tumor.

关 键 词：妊娠 恶性肿瘤 妊娠结局 预后 管理 

分 类 号：R714[医药卫生—妇产科学]