妊娠合并卵巢肿瘤的临床研究.docVIP

精品论文 参考文献 妊娠合并卵巢肿瘤的临床研究 谭先凤 张玉秀 王孝君 （重庆市綦江区人民医院产科 401420） 【摘要】 目的：探讨妊娠合并卵巢肿瘤的临床特点、治疗方法、妊娠结局。方法：选取本院2012年1月～2014年12月收治的妊娠合并卵巢肿瘤患者100例为观察组，同期正常妊娠产妇100例为对照组，分析妊娠合并卵巢肿瘤的临床特点与治疗方法，比较两组的妊娠结局。结果：100例妊娠合并卵巢肿瘤患者中，良性肿瘤94例（94.0%），恶性肿瘤6例（6.0%）。治疗过程中，9例发生卵巢囊肿蒂扭转（9.1%），2例发生卵巢囊肿破裂（2%）。观察组剖宫产率、早产儿发生率、并发症发生率均明显高于对照组，新生儿体质量、新生儿Apgar评分均明显低于对照组，分娩孕周明显少于对照组，差异均有统计学意义（P＜0.05）。结论：妊娠合并卵巢肿瘤多为良性，及早诊断和治疗有助于改善母婴预后。 【关键词】 妊娠；卵巢肿瘤；妊娠结局 【中图分类号】R737.3 【文献标识码】A 【文章编号】2095-1752（2015）34-0195-02 Clinical research of pregnancy complicated with ovarian tumor Tan Xianfeng 【Abstract】Objective To investigate clinical characteristics, treatment and pregnancy outcome of pregnancy complicated with ovarian tumor. Methods 750 patients of pregnancy complicated with ovarian tumor were selected in hospital from October 2013 to December 2014 as observation group. 750 normal pregnancy were selected at same period as control group. Clinical characteristics and treatment of pregnancy complicated with ovarian tumor were analyzed. Pregnancy outcome was compared between two groups. Results In 750 patients of pregnancy complicated with ovarian tumor, 705 patients were benign tumor (94%) while 45 patients were malignant tumor (6%). During treatment, 68 patients happened ovarian cyst pedicle torsion (9.1%) while 11 patient happened ovarian cyst rupture (1.5%). Cesarean section rate, incidence of premature infant, complication rate in observation group were significantly higher than control group. Neonatal body mass, neonatal Apgar score in observation group were significantly lower than control group. Delivery gestational week in observation group was significantly less than control group.Differences were statistically significant (Plt;0.05). Conclusion Pregnancy complicated with ovarian tumor is more benign. Early diagnosis and treatment is helpful to improve maternal and infant prognosis. 【Key words】 Pregnancy; Ovarian tumor; Pregnan