妊娠合并卵巢肿瘤的处理及其对妊娠结局的影响分析(1)
摘要：目的 探讨妊娠合并卵巢肿瘤的处理及其对妊娠结局的影响。方法 选取我院2014年3月～2015年3月收治的患有妊娠合并卵巢肿瘤的124例患者，对患者的临床资料进行总结分析。结果 所有患者中妊娠合并卵巢肿瘤的66例，占比为53.20%，其中主要是成熟囊性畸胎瘤28例，占比为22.60%；卵巢瘤样病变56例，占比为45.20%，其中主要是卵巢子宫内膜样囊肿30例，占比为24.20%；卵巢恶性肿瘤2例，占比为1.60%。108例患者需要进行手术的原因包括卵巢肿瘤蒂扭转、卵巢肿瘤破裂、顺产后择期进行卵巢肿瘤切除术。妊娠结局有足月产、早产以及流产三种。所有患者中发生卵巢肿瘤扭转的5例(4.00%)，肿瘤破裂的3例(2.40%)，并发症发生率为6.40%。结论 妊娠合并卵巢肿瘤的诊断需要采用的是盆腔和超声两种检查方式，具有极大的临床价值，该病的治疗主要是切除术，怀孕中期对患者进行手术干预安全有效，降低对患者及胎儿的影响。
关键词：妊娠；卵巢肿瘤；妊娠结局；影响
, http://www.100md.com Treatment of Pregnancy Complicated with Ovarian Tumors and its Impact on Pregnancy Outcome
MA Jing
(Department of Obstetrics and Gynecology，Qinghai Red Cross Hospital，Xining 810000，Qinghai，China)
Abstract：Objective To investigate the treatment of ovarian tumor in pregnancy and its effect on pregnancy outcome.Methods In our hospital in March 2014～2015 year in March were 124 cases with ovarian tumor in pregnancy in patients with clinical data were analyzed.Results All the patients were in 66 cases with ovarian tumor in pregnancy，accounting for 53.20%，including is a mature cystic teratoma in 28 cases，accounting for 22.60%；56 cases of ovarian neoplasia， accounted for 45.20%，including 30 cases of ovarian endometrial cyst，accounted for 24.20%；2 cases of ovarian malignant tumors，accounted for reasons of surgery than for 1.60%.108 patients including torsion of ovarian tumor.Rupture of ovarian tumor after birth，undergoing ovarian tumor resection.A full-term pregnancy，premature birth and abortion of three.5 cases of torsion of ovarian tumor occurred in all patients (4.00%)，tumor rupture 3 cases(2.40%)，the complication rate was 6.40%.Conclusion The diagnosis of ovarian tumor in pregnancy is the need to adopt two kinds of pelvic and ultrasound examination，is of great clinical value the treatment of the disease is mainly resection，mid pregnancy is safe and effective for patients with surgical intervention，to reduce the impact on patients and the fetus.
, http://www.100md.com
Key words：Pregnancy；Ovarian tumor；Pregnancy outcome；Impact
隨着医疗技术的不断提高，对妊娠合并卵巢肿瘤的诊断技术和治疗水平有了极大的进步，减少患者的疾病痛苦，使患者早日恢复健康[1]。妊娠合并卵巢肿瘤是临床上较为常见的一种疾病，可对患者及胎儿造成生命威胁，因此，需要引起相关人员的重视。该病的临床症状是可引起患者的早期流产，发生卵巢肿瘤蒂的扭转，造成胎位异常，分娩时可使患者的肿瘤发生破裂导致梗阻性难产，危及患者及胎儿的生命安全[2]。本文中对我院收治的124例患有妊娠合并卵巢肿瘤患者的临床资料进行全面的分析，以下是本次研究报告。
1资料与方法
1.1一般资料 将我院2014年3月～2015年3月收治的患有妊娠合并卵巢肿瘤的124例患者作为研究对象，年龄20～45岁，其中初产妇83例，占比为66.90%，经产妇41例，占比为33.10%，患者的怀孕次数为1～7次，平均怀孕次数为(2.5±0.8)次，其中单胎妊娠122例，占比为98.40%，双胎妊娠2例，占比为1.60%，检查后患者的卵巢包块直径最短为4 cm，最长为29 cm，平均直径为(6.1±0.2)cm，其中卵巢肿瘤表现为单侧的85例，占比为68.50%，双侧的有39例，占比为31.50%。所有患者中孕前确诊为妊娠合并卵巢肿瘤的10例，占比为8.10%，孕期确诊的114例，占比为91.90%，其中在孕期早期确诊的63例，占比为50.80%，孕期中期确诊的51例，占比为41.10%。采用盆腔检查[3]确诊的4例(3.20%)，剖宫产术中发现的27例(21.80%)，B超检查确诊的93例(75.00%)，其中在怀孕早期发现的68例，中期发现的24例，晚期发现的1例。, http://www.100md.com(马晶)
关键词：妊娠；卵巢肿瘤；妊娠结局；影响
, http://www.100md.com Treatment of Pregnancy Complicated with Ovarian Tumors and its Impact on Pregnancy Outcome
MA Jing
(Department of Obstetrics and Gynecology，Qinghai Red Cross Hospital，Xining 810000，Qinghai，China)
Abstract：Objective To investigate the treatment of ovarian tumor in pregnancy and its effect on pregnancy outcome.Methods In our hospital in March 2014～2015 year in March were 124 cases with ovarian tumor in pregnancy in patients with clinical data were analyzed.Results All the patients were in 66 cases with ovarian tumor in pregnancy，accounting for 53.20%，including is a mature cystic teratoma in 28 cases，accounting for 22.60%；56 cases of ovarian neoplasia， accounted for 45.20%，including 30 cases of ovarian endometrial cyst，accounted for 24.20%；2 cases of ovarian malignant tumors，accounted for reasons of surgery than for 1.60%.108 patients including torsion of ovarian tumor.Rupture of ovarian tumor after birth，undergoing ovarian tumor resection.A full-term pregnancy，premature birth and abortion of three.5 cases of torsion of ovarian tumor occurred in all patients (4.00%)，tumor rupture 3 cases(2.40%)，the complication rate was 6.40%.Conclusion The diagnosis of ovarian tumor in pregnancy is the need to adopt two kinds of pelvic and ultrasound examination，is of great clinical value the treatment of the disease is mainly resection，mid pregnancy is safe and effective for patients with surgical intervention，to reduce the impact on patients and the fetus.
, http://www.100md.com
Key words：Pregnancy；Ovarian tumor；Pregnancy outcome；Impact
隨着医疗技术的不断提高，对妊娠合并卵巢肿瘤的诊断技术和治疗水平有了极大的进步，减少患者的疾病痛苦，使患者早日恢复健康[1]。妊娠合并卵巢肿瘤是临床上较为常见的一种疾病，可对患者及胎儿造成生命威胁，因此，需要引起相关人员的重视。该病的临床症状是可引起患者的早期流产，发生卵巢肿瘤蒂的扭转，造成胎位异常，分娩时可使患者的肿瘤发生破裂导致梗阻性难产，危及患者及胎儿的生命安全[2]。本文中对我院收治的124例患有妊娠合并卵巢肿瘤患者的临床资料进行全面的分析，以下是本次研究报告。
1资料与方法
1.1一般资料 将我院2014年3月～2015年3月收治的患有妊娠合并卵巢肿瘤的124例患者作为研究对象，年龄20～45岁，其中初产妇83例，占比为66.90%，经产妇41例，占比为33.10%，患者的怀孕次数为1～7次，平均怀孕次数为(2.5±0.8)次，其中单胎妊娠122例，占比为98.40%，双胎妊娠2例，占比为1.60%，检查后患者的卵巢包块直径最短为4 cm，最长为29 cm，平均直径为(6.1±0.2)cm，其中卵巢肿瘤表现为单侧的85例，占比为68.50%，双侧的有39例，占比为31.50%。所有患者中孕前确诊为妊娠合并卵巢肿瘤的10例，占比为8.10%，孕期确诊的114例，占比为91.90%，其中在孕期早期确诊的63例，占比为50.80%，孕期中期确诊的51例，占比为41.10%。采用盆腔检查[3]确诊的4例(3.20%)，剖宫产术中发现的27例(21.80%)，B超检查确诊的93例(75.00%)，其中在怀孕早期发现的68例，中期发现的24例，晚期发现的1例。, http://www.100md.com(马晶)
参见：首页 > 医学版 > 医学知识 > 生殖系统 > 女性生殖系统 > 卵巢