妊娠合并卵巢肿瘤76例临床分析

The clinical analysis of 76 pregnancies with ovarian tumor

目的 明确妊娠合并卵巢肿瘤的临床特征和处理对策。方法 回顾性分析76例妊娠合并卵巢肿瘤的临床结局。全部病例均经手术病理诊断。结果 手术治疗的妊娠合并卵巢肿瘤发生率为1:164,妊娠合并卵巢成熟性畸胎瘤、子宫内膜异位囊肿、浆液性囊腺瘤、粘液性囊腺瘤的发生率分别为48.10％、15.19％、12.66％、8.86％％,恶性肿瘤3例,占3.95％;行肿物剔出术68例,占89.47％,附件切除术6例,占7.89％,无一例孕产妇及围产儿死亡。结论 妊娠合并卵巢肿瘤以成熟囊性畸胎瘤最多见,不同孕期卵巢良性肿瘤处理不同,妊娠合并卵巢恶性肿瘤处理等同非孕期。

Objective To determine the clinical lecture and treatment principle of pregnancy with ovarian tumor. Methods Retrospectively analysing the clinical result of 76 pregnancies with ovarian tumor. All patients were managed surgically and had pathologic diagnosis . Results The incidence of ovarian tumor in pregnant women who required surgical managnment was 1 in 164 live births. The incidence of mature teratoma , endometrial cyst, serous cystadenoma and mucinous cystadenoma of ovarian in pregnancy is 48.10% ,15.19%, 12.66%,8.86% respectively. 3 cases out of them (3.95%) are malignant tumor, 68 cases of them (89. 47%) were performed by tumor resection,6 casas(7.89%) were performed by salpingo-ovariotomy,There was no pregnant and perinatal baby death in this study. Conclusion The most common ovarian tumor in pregnancy is mature teratoma.There are different methods to treat benign ovarian tumors in pergnency in different period. The treatment of malignant ovarian tumor in pregnancy is as the same as in non - pregnancy.