摘要
目的分析妊娠期卵巢囊肿蒂扭转孕妇的临床病理特征。方法随机选取2018年1月至2020年1月我院经手术证实存在妊娠期卵巢囊肿蒂扭转孕妇50例,收集所有纳入孕妇的基线资料、临床症状、手术以及病理资料。结果 CA125干预前明显高于干预后[(48.30±10.29)U/L vs.(15.21±6.12)U/L],对比差异具有统计学意义(P<0.05);CA199干预前明显高于干预后[(45.16±11.24)kU/L vs.(10.26±5.47)kU/L],对比差异具有统计学意义(P<0.05)。50例妊娠期卵巢囊肿蒂扭转孕妇中,24例(48.0%)发生于孕早期,21例(42.0%)发生于孕中期,5例(10.0%)发生于孕晚期。50例孕妇腹痛持续2h~30d,合并或未合并恶心、呕吐以及肛门坠胀感,持续存在缓解腹痛孕妇29例(58.0%)、无缓解腹痛孕妇19例(38.0%)、肛门坠胀感孕妇8例(16.0%)、恶心呕吐孕妇32例(64.0%)。急诊手术孕妇38例(76.0%),择期手术患者12例(24.0%);囊肿切除孕妇38例(76.0%),附件切除孕妇11例(22.0%),囊肿剖探孕妇1例(2.0%);扭转180°孕妇5例(10.0%),360°孕妇19例(38.0%),540°孕妇6例(12.0%),720°孕妇12例(24.0%),900°孕妇4例(8.0%),1080°孕妇4例(8.0%)。术后病理为18例(36.7%)卵巢黄体囊肿,17例(34.7%)卵巢单纯性囊肿,8例(16.0%)卵巢成熟囊性畸胎瘤,4例(8.0%)卵巢黏液性囊腺瘤以及2例(4.0%)卵巢浆液性囊腺瘤。50例妊娠期卵巢囊肿蒂扭转孕妇中37例孕妇在我院产科门诊定期复查,13例孕妇在外院产科复查。50例孕妇中48例(96.0%)孕妇术后1个月未出现不良反应,2例36周伴胎膜早破孕妇行剖宫产终止妊娠;48例继续妊娠孕妇中,15例(31.3%)足月分娩,13例(27.1%)剖宫产,1例术后5个月胎死宫内终止妊娠,7例(14.6%)正在随访中,其余产妇术后失访。结论卵巢囊肿蒂扭转好发于孕早中期,卵巢扭转低于900°发生坏死风险较低,而最多见病理类型为卵巢生理性囊肿;确诊后行急诊手术治疗,对病变部位复位卵巢囊肿切除具有较高的有效性和安全�
Objective To analyze the clinicopathological features of torsion of ovarian cyst pedicle in pregnant women during pregnancy.Methods A total of 50 pregnant women with torsion of ovarian cyst pedicle during pregnancy confirmed by surgery in our hospital from January 2018 to January 2020 were randomly selected,and baseline data,clinical symptoms,surgical and pathological data of all included pregnant women were collected.Results Before CA125 intervention was significantly higher than after intervention[(48.30±10.29) U/L vs.(15.21±6.12) U/L],the difference was statistically significant (P<0.05),before CA199 intervention was significantly higher than after intervention[(45.16±11.24) kU/L vs.(10.26±5.47) kU/L],the contrast difference was statistically significant (P<0.05).Of the 50 pregnant women with ovarian cyst pedicle torsion during pregnancy,24 (48.0%) occurred in the first trimester,21 (42.0%) occurred in the second trimester,and 5 (10.0%) occurred in the third trimester.Abdominal pain in 50 pregnant women lasted for 2h~30d,with or without nausea,vomiting,and anal bloating sensation.29 pregnant women (58.0%) with abdominal pain relief continued,19 pregnant women (38.0%) without abdominal pain relief,pregnant women with anal bloating 8 cases (16.0%) and 32 pregnant women (64.0%) with nausea and vomiting.38 cases (76.0%) of pregnant women under emergency surgery,12 cases (24.0%) of patients undergoing elective surgery;38 cases (76.0%) of pregnant women with cystectomy,11 cases (22.0%) of pregnant women with appendectomy and 1 case (2.0%) of pregnant women with cystectomy;5 cases (10.0%) of 180° pregnant women,19 cases (38.0%) of 360° pregnant women,6 cases (12.0%) of 540° pregnant women,12 cases (24.0%) of 720° pregnant women,4 cases (8.0%) of 900° pregnant women),4 cases (8.0%) of 1080° pregnant women.Postoperative pathology was 18 cases (36.7%) of ovarian luteal cysts,17 cases (34.7%) of simple ovarian cysts,8 cases (16.0%) of mature ovarian cystic teratoma,and 4 cases (8.0%) of ovarian mucinous cystic
作者
赖翠英
LAI Cui-ying(Maternal and Child Health Hospital of Zengcheng District,Guangzhou,Guangdong 511300)
出处
《智慧健康》
2021年第4期77-79,82,共4页
Smart Healthcare
关键词
卵巢囊肿蒂扭转
妊娠期
临床特点
病理类型
高发期
妊娠结局
Ovarian cyst pedicle torsion
Pregnancy
Clinical characteristics
Pathological type
High incidence period
Pregnancy outcome
