Clinical diagnosis and treatment analysis of ovarian tumor during pregnancy in 156 cases
10.3760/cma.j.issn.1008-6706.2011.08.027
- VernacularTitle:妊娠合并卵巢肿瘤156例诊治分析
- Author:
Huiyuan PENG
;
Ying ZHANG
;
Donghui MA
- Publication Type:Journal Article
- Keywords:
Pregnancy;
Ovarian tumor;
CA125;
AFP
- From:
Chinese Journal of Primary Medicine and Pharmacy
2011;18(8):1067-1069
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the ovarian tumor's characteristics, diagnosis and treatment during pregnancy.Methods A retrospective analysis of 156 cases of ovarian tumor was carried out.Results About 152 cases were dignosed as benign,accounting for 97.44%.The majority of which were demoid cysts and grout cystadenomas,two cases were bordline grout papillary cystaadenoma,other 2 cases,one was some of immature teratoma, another was immature teratoma.67 cases were diagnosed by ultrasound during the first trimester, accountting for 80.72%, among 17 urgent operations,10 cases caused by torsion,7 cases caused by rupture.43 cases operated by term,among which 39 cases were tradion operations,4 cases were laparoscopic surgery.18 cases made the examination of CA125 before operation,as a result,13 cases elevated,AFP examination were made in 10 cases,7 cases elevated.Full-term birth was in 152 patients, accounting for 97.44%.Conclusion Majority ovarian tumor during prenaney were benign;Ultrasound examination combined with tumor marker were important in diagnosis and detection ovarian tumor during pregnancy; The individual operation therapy should be chosen, according to the tumor's properties, gestational weeks, and patients' will;Timely open surgery or laparoscopic surgery should not affect the pregnancy outcome.