妊娠合并卵巢肿瘤临床分析

Clinical analyses of ovarian cancers in pregnancy

目的探讨妊娠合并卵巢肿瘤的临床特点及治疗方案。方法回顾性分析2015年1月至2022年6月收治的62例妊娠合并卵巢肿瘤患者的临床表现及治疗效果。结果62例妊娠合并卵巢肿瘤患者中,24例可触及下腹部包块,12例伴有压痛,33例超声检查提示卵巢/宫旁包块。8例行保守治疗;56例行手术治疗,其中49例行肿瘤剔除术,2例行卵巢复位术,5例行附件切除术。7例诊断为卵巢肿物蒂扭转患者经积极处理后妊娠结局良好。结论育龄期女性孕前应进行常规妇科检查,积极处理卵巢肿瘤,避免带瘤妊娠。超声检查是诊断妊娠合并卵巢肿瘤的重要手段。剖宫产术中应常规探查双侧附件,及时发现卵巢肿瘤。

Objective To analyze the clinical characteristics and treatment regimens of ovarian cancers in pregnancy.Methods Clinical data and treatment outcomes of 62 pregnant women with ovarian tumors treated in the hospital from January 2015 to June 2022 were analyzed retrospectively.Results Among the 62 cases,there were 24 cases of palpable masses in the lower abdomen,12 cases of abdominal tenderness and 33 cases of ovarian or parauterine masses on ultrasound scans.Eight cases accepted conservative therapy,the other 56 cases accepted surgical treatment,including 49 cases of tumor excision,2 of ovarian reinversion and 5 of adnexectomy.Seven cases of ovarian tumor torsion had good pregnancy outcomes after an active management.Conclusion Regular gynecological examinations before pregnancy are recommended to women of childbearing age.Ovarian tumors should be actively managed to avoid them in pregnancy.Ultrasonography is a vital tool to the diagnosis of ovarian tumors in pregnancy.Exploration of adnexa on both sides should be routinely performed during cesarean section,aiming to identify ovarian tumors in the early stage.