摘要
目的探讨妊娠合并卵巢癌患者行保留生育功能治疗对其妊娠结果的影响及安全性。方法回顾性分析2013年6月至2014年6月间山东省临朐县人民医院收治的40例妊娠合并卵巢癌患者的临床资料,观察并记录患者卵巢肿瘤首次确诊时间、方式、病理类型、处理方式及妊娠结果。结果妊娠合并卵巢癌患者首次确诊时间在孕晚期的百分率明显高于孕前、孕早期、孕中期,差异有统计学意义(P<0.05)。妊娠合并卵巢癌患者确诊发现方式为超声检查的显著高于妇科检查及剖宫产手术,差异有统计学意义(P<0.05)。妊娠合并卵巢癌患者成熟畸胎瘤发生率显著高于卵巢瘤样病变、卵巢巧克力囊肿、黏液性囊肿、卵巢冠囊肿、浆液性囊腺瘤,差异有统计学意义(P<0.05)。妊娠合并卵巢癌患者处理例数中剖宫产显著高于自然分娩、流产、早产,差异有统计学意义(P<0.05)。妊娠合并卵巢癌患者自然分娩、早产、剖宫产术胎儿生存率相近,差异无统计学意义(P>0.05)。妊娠合并卵巢癌患者自然分娩、早产、流产、剖宫产术胎儿生存率相近,差异无统计学意义(P>0.05)。结论对于妊娠合并卵巢癌患者于剖宫产期间实施保留生育功能治疗可获得显著疗效,胎儿及产妇存活率较高,安全性较为肯定,值得推广。
Objective To explore the efficacy of reproductive function retainment on the pregnancy outcome on pregnant ovarian cancer patients and safety. Methods From June 2013 to June 2014 in Linqu County People＇s Hospital, the clinical data of 40 pregnant ovarian cancer patients were analyzed. The first time way, pathological type, treatment and pregnancy outcomes were observe and record. Results The percentage of time in late pregnancy was significantly higher than pregnancy early and mid pregnancy, with significant differences （ P 〈 0.05 ）. B ultrasonic examination was higher than gynaecology and cesarean section surgery, with significant difference （P 〈 0. 05）. The incidence of mature teratoma in pregnancy with ovarian cancer was significantly higher than in patients with ovarian tumor lesions, ovarian chocolate cyst, mucous cyst, ovarian cyst, serous cystic adenoma, with significant differences （P 〈 0.05）. Pregnancy with ovarian cancer patients deal with cases of cesarean section was significantly higher than that of natural childbirth, abortion, premature birth, with significant differences （ P 〈 0. 05 ）. Pregnancy with ovarian cancer patients＇ natural birth, premature labor, cesarean section, fetal survival rate were almost the same, with no significant differences （P 〉 0. 05）. Pregnancy with ovarian cancer patients with natural birth, premature birth, abortion, cesarean section, fetal survival rate were almost the same, with significant no difference （ P 〉 O. 05 ）. Conclusion For pregnancy with ovarian cancer patients during cesarean delivery implementation, preserving fertility function can obtain remarkable curative effect, fetal and maternal survival rate is higher. It is worthy of promotion.
出处
《中国肿瘤临床与康复》
2016年第7期787-789,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
卵巢肿瘤
妊娠
保留生育功能
妊娠结局
安全性
Ovarian neoplasms
Pregnancy
Preserving fertility function
Pregnancy outcome
Security
