妊娠合并宫颈癌十例临床分析  

Clinical analysis of 10 patients of pregnancy with cervical cancer

作　　者：王春阳 高景春[2] 金仙玉[3] 王惠华 周慧 韩璐 Wang Chunyang;Gao Jingchun;Jin Xianyu;Wang Huihua;Zhou Hui;Han Lu(Department of Gynecology,Dalian Obstetrics and Gynecology Hospital,Affiliated to Dalian Medical University,Dalian 116033,China;Department of Obstetrics and Gynecology,the First Hospital of Dalian Medical University,Dalian 116011,China;Department of Obstetrics and Gynecology,Dalian Central Hospital,Dalian 116033,China;Department of Obstetrics and Gynecology,Dalian Women and Children′s Medical Center,Dalian 116037,China;Department of Obstetrics and Gynecology,Wafangdian Central Hospital,Liaoning Wafangdian 116300,China)

机构地区：[1]大连医科大学附属大连市妇产医院暨大连市妇幼保健院妇科,116033 [2]大连医科大学附属第一医院妇产科,116011 [3]大连市中心医院妇产科,116033 [4]大连市妇女儿童医疗中心妇产科,116037 [5]辽宁省瓦房店市中心医院妇产科,116300

出　　处：《中国医师进修杂志》2021年第9期820-824,共5页Chinese Journal of Postgraduates of Medicine

摘　　要：目的分析妊娠合并宫颈癌的临床特点、诊疗方案及临床结局。方法回顾性分析2008年1月至2018年10月大连医科大学附属大连市妇产医院、大连医科大学附属第一医院、大连市中心医院、大连市妇女儿童医疗中心和辽宁省瓦房店市中心医院收治的10例妊娠合并宫颈癌患者的临床资料。结果妊娠合并宫颈癌的发病率为0.004%(10/238128)。10例妊娠合并宫颈癌患者中,诊断时妊娠≤20周6例,均选择不保留胎儿;诊断时妊娠20+1~30周1例,选择终止妊娠;诊断时孕周>30周2例,均选择继续妊娠;1例为产后发现宫颈癌。10例患者共获得3例新生儿,包括早产儿1例,均健康存活。结论孕前加强宫颈癌筛查,对妊娠期有异常症状者及时完善各项检查有助于诊断;应根据诊断时的妊娠状态、疾病分期、患者及家属意愿制定个体化治疗方案。Objective To analyze the clinical features,diagnosis and treatment plan,clinical outcomes of pregnancy with cervical cancer.Methods The clinical data of 10 pregnant women with cervical cancer from January 2008 to October 2018 in Dalian Obstetrics and Gynecology Hospital Affiliated to Dalian Medical University,the First Hospital of Dalian Medical University,Dalian Central Hospital,Dalian Women and Children′s Medical Center and Wafangdian Central Hospital of Liaoning Province were retrospectively analyzed.Results The incidence of pregnancy with cervical cancer was 0.004%(10/238128).Among the 10 cases of pregnancy with cervical cancer,the gestational weeks≤20 weeks at the time of diagnosis was in 6 cases,and they all chose to terminate the pregnancy;the gestational weeks 20+1 to 30 weeks at the time of diagnosis was in 1 case,and the patient chose to terminate the pregnancy;the gestational weeks>30 weeks at the time of diagnosis was in 2 cases,and they all chose to continue the pregnancy;1 case was diagnosed after delivery.There were 3 newborns,including 1 premature infants,and they all survived.Conclusions It is helpful to the diagnose of the disease to strengthen cervical cancer screening before pregnancy and improve the examination of patients with abnormal symptoms during pregnancy.The treatment plan should be individualized according to the pregnancy status,stage of the disease,and wishes of the patient and family.

关 键 词：妊娠 宫颈肿瘤 妊娠结局 回顾性研究 

分 类 号：R737.33[医药卫生—肿瘤] R714.2[医药卫生—临床医学]