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目的:探讨妊娠合并卵巢肿瘤的临床诊断及处理方法。方法:回顾性分析52例妊娠合并卵巢肿瘤的诊断方式、处理方法及妊娠情况。结果:经盆腔检查和B超检查,术前确诊妊娠合并卵巢肿瘤33例,占63.46%;剖宫产术中探查双附件发现19例,占36.54%,其中9例发生卵巢肿瘤蒂扭转,发生率17.31%,均急诊手术;43例择期手术,52例经病理检查均为良性,其中良性囊性畸胎瘤23例,占44.23%。结论:妊娠合并卵巢肿瘤易出现并发症,早期诊断,选择合适手术时机,可降低母婴并发症。
Objective: To investigate the clinical diagnosis and treatment of pregnancy complicated with ovarian tumors. Methods: A retrospective analysis of 52 cases of pregnancy with ovarian cancer diagnosis, treatment and pregnancy status. Results: Pelvic examination and B-ultrasound, preoperative diagnosis of pregnancy with ovarian tumors in 33 cases, accounting for 63.46%; cesarean section in the detection of double attachments found in 19 cases, accounting for 36.54%, of which 9 cases of ovarian tumor torsion occurred Rate of 17.31% were emergency surgery; 43 cases of elective surgery, 52 cases were pathologically benign, of which 23 cases of benign cystic teratoma, accounting for 44.23%. Conclusion: Pregnancy complicated with ovarian tumors is prone to complications, early diagnosis, select the appropriate timing of surgery, can reduce maternal and child complications.