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妊娠合并卵巢肿瘤141例临床分析
引用本文:曹斌融,刘惜时,张惜阴,郭桂芹,赵存志,任藏梅,唐慧兰.妊娠合并卵巢肿瘤141例临床分析[J].中国实用妇科与产科杂志,1993(3).
作者姓名:曹斌融  刘惜时  张惜阴  郭桂芹  赵存志  任藏梅  唐慧兰
作者单位:上海医科大学妇产科医院 (200011)(曹斌融,刘惜时,张惜阴),锦州市妇婴医院 (121000)(郭桂芹,赵存志),河北医科院附属医院 (050011)(任藏梅,唐慧兰)
摘    要:本文综合报道妊娠合并卵巢肿瘤141例,均经手术或病理证实。其中良性137例(97.16%),恶性4例(2.84%)。孕早期发现54例(38.30%),孕中期40例(28.37%),孕晚期47例(33.33%)。强调孕早期妇科检查、B超、手术探查及产后常规检查之重要性。妊娠合并卵巢肿瘤的适宜手术时间在16~18孕周,孕3个月内应避免手术,但对有症状、混合性、实性肿瘤及有并发症者应立即手术。

关 键 词:卵巢肿瘤  蒂扭转  恶变  产道阻塞

Pregnancy cornplicated with ovarian neoplasms:Analysis of 141 cases.
Cao Binrong Hospital of Obstetrics and Gynecology,Shanghai Medical University,Shang hai.Pregnancy cornplicated with ovarian neoplasms:Analysis of 141 cases.[J].Chinese Journal of Practical Gynecology and Obstetrics,1993(3).
Authors:Cao Binrong Hospital of Obstetrics and Gynecology  Shanghai Medical University  Shang hai
Institution:Cao Binrong Hospital of Obstetrics and Gynecology,Shanghai Medical University,Shang hai 200011
Abstract:The paper reported 141 pregnancies complicated with neoplasms which were confirmed by surgery or pathology.Of the neoplasms,137(97.16%)were benign,4 malignant(2.84%).Fifty-four cases(38.3%)were identified in early pregnancy;40(28.3%)in the second trimester,and 47(33.33%)in late pregnancy.The result indicated that examination in early pregnancy,B-ultrasound examination,operative exploration,and routine postpartum checkup should be emphasized. The optimal time for operation was 16 to 18 week gestation.The operation should be avoided in the first three months of pregnancy. Nevertheless,if the neoplasm was symptomatic,solid or mixed,or its complications ensued,operation should be done immediately.
Keywords:Ovarian neoplasms  Pedicle torsion  Malignant degeneration  Obstruction of birth canal  
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