98例妊娠合并卵巢肿瘤临床分析

98 Example Gravidity Combines Clinical Ovary Tumour Analysis

目的探讨妊娠合并卵巢肿瘤的治疗及并发症的防治。方法对2003年5月至2007年3月,我院98例妊娠合并卵巢肿瘤的患者临床资料进行回顾性分析。结果98例患者中其中良性肿瘤92例,占93.9%,恶性肿瘤6例,占6.1%;常见的卵巢肿瘤类型依次为成熟型囊性畸胎瘤、卵巢瘤样病变(巧克力囊肿、黄体囊肿);其中足月妊娠88例(91.67%),6例人工流产后手术剥除,早产1例,胎儿宫内窒息死亡1例。结论B超检查和甲胎蛋白(AFP)及CA125在诊断及监测妊娠期卵巢肿瘤具有重要的指导意义;适时的手术干预并不影响妊娠结局,剖宫产术中可同时行肿瘤剥除术;卵巢恶性肿瘤一旦确诊应立即手术。

Objective To discuss gravidity combining ovary tumour treating and the complication prevention and cure.Methods May2003 to March 2007,98 patients in our hospital pregnancy with ovarian cancer patients with clinical data were analyzedretrospectively.Results 98 cases of patients in 92 cases of benign tumors,accounting for 93.9%,6 cases of malignant tumors,accounting for 6.1%;common types of ovarian tumors were mature cystic teratoma,ovarian tumor-like lesions（chocolate cyst,corpusluteum cyst）;one full-term pregnancy of 88 cases（91.67%）,six cases of abortion after stripping surgery,one case of prematuredelivery,fetal distress suffocation and death in 1 case.Conclusion B-examination in the diagnosis and monitoring of ovarian cancerduring pregnancy is important guiding significance;timely surgical intervention did not affect the outcome of pregnancy,cesareansection at the same time can be stripped of the tumor;Once diagnosed ovarian cancer surgery should immediately.