为评估妊娠合并卵巢肿瘤急诊和择期手术的利弊，作者回顾分析了自1980年到1996年174例在台北荣总医院于妊娠或产褥或因卵巢肿瘤行附件手术的病例，其中急诊手术32例（A组），择期手术142例（B组），两组平均年龄及孕产次无明显差异。依据患者的症状、体征，首次产前检查，产后的常规盆腔检查及B超检查进行诊断。对首次产前检查及产后检查中双合诊发现附件包块者，即作超声检查确定诊断，择期手术依肿瘤大小、生长速度、囊实性及肿瘤部位高低而定。其中A组所有病例均有剧烈腹痛史，保守治疗无效。本组174例中有12例流产，其中自然流产7例，人工流产5例，A组中19例为附件扭转，6例肿瘤破裂内出血，l例急性囊肿内出血。与择期手术比较，急诊手术有如下特点：①半数病例发生在妊娠早期（l／32例）。②引起9例流产占75％（9／12例）其中6例自然流产，占85．7％（6／7）（P桹．0016）。③卵巢肿瘤明显大于择期手术组，（急诊手术组11．l土4．Zcm，而择期手术组8．3士3．76cm）（Pwto05）。④小于scm的卵巢肿瘤引起需要急诊手术治疗的症状。⑤附件切除及全麻率明显增加（P＜0．OOS）。妊娠期卵巢肿瘤大于10cm者恶性倾向明显增加（P一OO95），尤其在急诊手术前（P?0．00001），麻醉方式的选择与妊娠结局无关。结 In order to evaluate the advantages and disadvantages of emergency ovarian surgery and elective surgery in pregnancy complicated with ovarian cancer, the authors retrospectively analyzed 174 cases of operation of attachment or attachment of pregnancy or puerperal or ovarian tumor in Taipei Veterans General Hospital from 1980 to 1996. Among them, 32 cases of emergency operation (A group), elective surgery 142 cases (B group), the average age of the two groups and no significant difference in gestational age. According to the patient’s symptoms, signs, the first prenatal examination, postpartum conventional pelvic examination and B-ultrasound diagnosis. On the first prenatal examination and postpartum examination found double clutches in the annex mass, that is confirmed by ultrasound examination, elective surgery according to tumor size, growth rate, cystic solidity and tumor site may be. All patients in group A had severe abdominal pain history, and conservative treatment was ineffective. In this group of 174 cases, 12 cases of abortion, including 7 cases of spontaneous abortion, abortion in 5 cases, 19 cases of group A was reversed, 6 cases of rupture of the tumor hemorrhage, l cases of acute cyst hemorrhage. Compared with elective surgery, emergency surgery has the following characteristics: ① Half of cases occurred in early pregnancy (l / 32 cases). ②Among 9 cases of abortion, 75% (9/12 cases) of which 6 cases of spontaneous abortion, accounting for 85.7% (6/7) (P 桹 .0016). Ovarian tumor was significantly larger than the elective surgery group (emergency surgery group 11.l soil 4.Zcm, while elective surgery group 8.3 ± 3.76cm) (Pwto05). ④ ovarian tumors less than scm caused by the need for emergency surgery treatment of symptoms. ⑤ attachment resection and total anesthesia was significantly increased (P <0.OOS). Pregnancy ovarian tumors larger than 10cm were significantly increased the malignant tendency (P OO95), especially in emergency surgery (P? 0.00001), the choice of anesthesia has nothing to do with the outcome of pregnancy. Knot