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目的:探讨妊娠合并卵巢肿瘤的临床特点和诊治方法。方法:对62例妊娠合并卵巢肿瘤患者均行手术治疗,其中在剖宫产术中发现的患者同时行卵巢肿瘤剥除术,在孕中期发现的13例患者中,5例因发生肿瘤急性蒂扭转行一侧附件切除术,其余8例均于足月时行剖宫产术+卵巢肿瘤剥除术。在孕早期发现的患者于孕16~20周行卵巢肿瘤剥除术,分娩过程当中发现的均于产后行卵巢肿瘤剥除术。结果:6例于孕中期发生肿瘤蒂扭转及8例于孕早期发现者均给予保胎治疗成功后至足月妊娠;8例于足月后正常分娩。62例孕产妇中有44例行剖宫产术结束妊娠,新生儿全部存活,情况良好。结论:妊娠早期妇科检查是筛查妊娠合并卵巢肿瘤最方便有效的方法。在剖宫产术中认真探查双侧附件,对于发现卵巢肿瘤也很重要。只有早期诊断和正确辨别良、恶性肿瘤,根据个体情况及时采取手术等治疗方法,才能保证母儿平安。
Objective: To investigate the clinical features and diagnosis and treatment of pregnancy complicated with ovarian tumors. Methods: Sixty-two patients with pregnancy complicated with ovarian cancer underwent surgical treatment. Among the patients found during cesarean section, ovariectomized patients were ovariectomized at the same time. Of the 13 patients found in the second trimester, 5 were diagnosed as having acute tumor Twist the side of the attachment resection, and the remaining 8 cases were in full-term cesarean section + ovarian tumor stripping surgery. Patients found during the first trimester were ovariectomized at 16 to 20 weeks of gestation, and ovariectomized tumors were found during delivery in the postpartum period. Results: Twelve tumor recurrences were found in the second trimester of pregnancy and 8 cases were found to have full pregnancy after successful tocolysis in the first trimester. Eight of them were given normal labor after term. Forty-two of 62 pregnant women underwent cesarean delivery and all newborns survived in good condition. Conclusion: The first trimester gynecological examination is the most convenient and effective method for screening pregnant women with ovarian tumors. Careful exploration of bilateral attachments in caesarean section is also important for detecting ovarian tumors. Only early diagnosis and the right to distinguish between benign and malignant tumors, according to individual circumstances promptly take surgery and other treatment methods, in order to ensure mother and child safety.