摘要
目的探讨妊娠合并卵巢肿瘤的诊断方式、病理类型和妊娠结局。方法回顾性分析我院2009年1月至2012年12月收治的106例妊娠合并卵巢肿瘤患者资料。根据分娩方式,将其分为阴道分娩组(A组)及剖宫产组(B组);依据孕期超声检查结果,将B组分为术前诊断组(B1组)及术中诊断组(B2组)。对A组孕期诊断情况和孕期卵巢肿物大小进行分析;对B1组孕期诊断情况、B1和B2组术中探查卵巢肿物大小及病理诊断类型进行分析。结果本组106例资料中,分娩前诊断63例,剖宫产同时发现43例。病理类型以卵巢型子宫内膜异位囊肿最为多见,其次为成熟性囊性畸胎瘤、黏液性囊腺瘤、卵巢黄体囊肿,交界性肿瘤3例,无恶性肿瘤。结论妊娠合并卵巢肿瘤,多为良性肿瘤,卵巢型子宫内膜异位囊肿是常见病理类型,孕早中期超声检查有助于诊断但有局限性,剖宫产同时双附件区探查是必要的;妊娠结局良好,孕期绝大多数无需过多干预。
Objective To investigate the diagnosis method, pathology types and pregnancy outcomes with ovarian tumors in pregnancy. Methods A total of 106 patients of pregnancy associated with ovarian tumors treated in our hospital from January 2009 to December 2012 were analyzed retrospectively. According to the mode of delivery, these cases were divided into vaginal delivery group （group A） and uterine-incision delivery group （group B）. According to the pregnancy ultrasound results, group B were divided into preoperatire diagnosis group （group B1） and intraoperative diagnosis （group B2）. To analyzed The diagno- sis method ：and the size of ovarian masses during pregnancy were analyzed in group A. The diagnosis method in group B1 and the sizes of ovarian masses described in surgery and the pathological types were analyzed in group B. Results Among 106 cases, 6a were diagnosed by ultrasound before and during pregnancy, 43 were confirmed during cesarean section. Ovarian endometriosis was the most ;frequent organic benign ovarian tumors diagnosed during pregnancy, and the next pathology types were dermoid cyst and mueinous cystadenoma. Conclusions The vast majority of ovarian tumors in pregnancy is benign, and ovarian endome- triosis is common in ovarian tumors diagnosed during pregnancy. Ultrasound can diagnose ovarian tumors but has limitations during the first and the second trimesters, and it is necessary to explorate bilateral adnexal during cesarean section.
出处
《福建医药杂志》
CAS
2014年第2期24-27,共4页
Fujian Medical Journal
