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目的:了解妊娠合并卵巢囊肿的临床特征及对妊娠结局的影响;探讨孕早期B超检查的重要性。方法:对2006年1月～2009年2月襄樊市妇幼保健院收治的30例经手术及病理诊断的妊娠合并卵巢肿瘤患者的临床资料进行回顾性分析。结果:30例患者中,妊娠期卵巢良性肿瘤29例,占96.67%,以生殖细胞肿瘤为多见;交界性浆液性乳头状囊腺瘤伴局部微乳头性腺癌1例。早孕期超声诊断9例,占30.00%;术中发现15例,占50.00%。1例高龄初产妇孕5月发现卵巢交界性肿瘤手术切除患侧附件获得足月妊娠1例。足月分娩28例,占93.33%;早产2例。有4例术前行血CA125检查,升高1例,为交界性浆液性乳头状囊腺瘤。结论:超声检查对诊断及监测妊娠期卵巢肿瘤具有重要的指导意义;适时的手术干预并不影响妊娠结局;血清CA125检查对妊娠期卵巢良恶性肿瘤有鉴别诊断的意义,但其价值有待进一步探讨研究。
Objective: To understand the clinical features of pregnancy with ovarian cysts and the impact on pregnancy outcome; explore the importance of B-ultrasound in early pregnancy. Methods: The clinical data of 30 patients with pregnancy complicated with ovarian tumor diagnosed by operation and pathology from January 2006 to February 2009 in Xiangfan MCH were retrospectively analyzed. Results: Of the 30 patients, 29 cases of benign ovarian tumors in pregnancy accounted for 96.67%, which were more common in germ cell tumors. There were 1 cases of borderline serous papillary cystadenoma with local micropapillary adenocarcinoma. Early ultrasound ultrasound diagnosis in 9 cases, accounting for 30.00%; intraoperative findings in 15 cases, accounting for 50.00%. One case of early primiparous pregnancies in May found ovarian borderline tumor resection ipsilateral attachment obtained full-term pregnancy in 1 case. 28 cases of full-term delivery, accounting for 93.33%; 2 cases of premature delivery. There are 4 cases of preoperative blood CA125 examination, an increase of 1 case, borderline serous papillary cystadenoma. Conclusion: Ultrasonography is of great significance in the diagnosis and monitoring of ovarian tumors during pregnancy. The timely surgical intervention does not affect the outcome of pregnancy. The serum CA125 level is of significance for the differential diagnosis of benign and malignant ovarian tumors in pregnancy, but its value needs to be further explored the study.