妊娠合并卵巢肿瘤的临床分析

Clinical Analysis of Pregnancy with Ovarian Tumor

目的:探讨临床治疗妊娠合并卵巢肿瘤的有效方式,并对治疗效果进行研究分析。方法:选取2008年4月至2011年4月,3年间于本院确诊为妊娠期合并卵巢肿瘤患者232例,回顾其临床资料并进行比较分析。结果:妊娠合并卵巢肿瘤患者发生率为0.61%,孕前发现12例,孕早期发现63例,孕中期发现32例,孕晚期发现125例,其中良性肿瘤225例,交界性肿瘤1例,恶性肿瘤6例,以成熟性畸胎瘤和浆液性囊腺瘤为主,共发生并发症66例,以卵巢肿瘤蒂扭转(69.70%)为主,手术治疗209例,卵巢肿瘤自然消失13例,自然分娩10例。结论:妊娠合并卵巢肿瘤以良性肿瘤为主,手术时机及术式主要取决于卵巢肿瘤的大小、位置、形态、性质、孕期及患者的要求等。

Objective： To study the effective clinical ways to treat ovarian tumor with pregnancy, and to conduct research and analysis of the treatment effects. Methods： Up to 232 cases of patients diagnosed with ovarian tumor with pregnancy in our hospital from April 2008 to April 2011 were selected. Their clinical data were reviewed, compared, and analyzed. Results： The incidence of pregnancy with ovarian tumor was 1.30%, and 12 cases were found during the pregnancy, 63 cases were found in early pregnancy, 32 cases in the middle of pregnancy, 125 cases found in late pregnancy, including 231 cases of benign tumors, 2 cases of border tumors, and 6 cases of malignant tumors. Most of the cases were mature teratomas and grout line sexual capsule adenomas. Complications occurred in 66 cases, most of which were ovarian tumor＇s turn. Up to 209 cases received surgical treatment; the tumors disappeared spontaneously in 13 cases, and 10 cases gave birth naturally. Conclusion： Most ovarian tumors with pregnancies are benign tumors; the operation time and the method depend mainly on the size, location, form, nature of the ovarian tumor, as well as the pregnancy period, and the requirements of the patient.