妊娠合并卵巢肿瘤57例临床分析

Analysis of 57 cases ovariantumor in pregnancy

目的 探讨妊娠合并卵巢肿瘤的临床特点及处理。方法 分析 5 7例妊娠合并卵巢肿瘤的临床资料。结果 妊娠合并卵巢肿瘤分娩前诊断率 43 .86% ;妊娠合并卵巢肿瘤中成熟性畸胎瘤 42 .11% ;妊娠合并卵巢肿瘤扭转率 10 .5 2 % ,其中 5 0 %为畸胎瘤 ;妊娠合并卵巢肿瘤大部分行肿瘤剥除术 ,卵巢肿瘤扭转行附件切除术。结论 孕早期应行妇检及时发现卵巢肿瘤 ,妊娠合并卵巢肿瘤及卵巢肿瘤扭转均以成熟畸胎瘤多见 ;不同孕期的良性卵巢肿瘤处理不同 ,妊娠合并卵巢恶性肿瘤的处理原则与非妊娠期相同。

Objective\ To study the clinical characteristics and treatment of ovarian tumor in pregnancy. Methods\ The cl inical data of 57 cases of ovarian tumor in pregnancy were analyzed. Results\ The diagnosis rate of ovarian tumor in pregnancy is 43.86%. Mature teratoma in ovarian tumor accounts for 42.11%. Torsion of ovarian is 10.52%,in which teratoma is 50%. Salpingo oophorectomy was performed on patients with torsion. Conclusion\ Ggnecologic examination should be performed in first trimester of pregnant women in order to distinguish ovarian tumor.Mature teratoma is common in torsion of ovarian tumor . The treatments of benignant ovarian tumor are different in accordance with pregnant weeks,but the treatment principle of malignant tumor in pregnant women is similar to that in nonpregnant women.