Clinical treatment of ovarian tumors in pregnancy
10.16571/j.cnki.1008-8199.2018.02.013
- VernacularTitle:妊娠合并卵巢肿物的临床分析
- Author:
Xiao-Mei ZHOU
1
;
Yi-Ping SU
Author Information
1. 南京医科大学附属妇产医院妇科
- Keywords:
pregnancy;
ovarian tumor;
clinical features;
pregnancy outcome
- From:
Journal of Medical Postgraduates
2018;31(2):178-180
- CountryChina
- Language:Chinese
-
Abstract:
Objective Ovarian tumor intervention in pregnancy may lead to pregnancy-induced abortion,secondary complications and so on.This study aimed to investigate the clinical characteristics of pregnancy associated with ovarian tumors and the impact of surgical intervention during pregnancy on pregnancy outcomes.Methods Retrospective analysis has been done on the clinical data of 176 cases with ovarian masses during pregnancy who had been treated,operated and pathologically diagnosed in the Obstetrics and Gynecology Hospital affiliated to Nanjing Medical University between January 2012 to December 2016.Results According to the diameter of ovarian tumors,34 cases were less than 5cm,112 cases were between 5 and 10 cm,30 cases were more than lOcm and the corresponding morbidity were 0％,13.4％ and 16.7％.with significant difference between them(P＜O.05).Emergency operations were done on 20 patients with complications,among which 5 patients undertook the ipsilateral enuclearion of ovarian tumors without no ovarian necrosis,12 patients undertook ipsilateral ovarian attachment resection due to ovarian necrosis,2 patients undertook ipsilateral ovarian attachment resection due to acute lower abdominal pain with the rupture of tumors,1 patient undertook right side attachment resection due to bloating with high suspicion of malignancy.The analysis on the pregnancy outcomes of 141 cases showed 131 cases of term delivery,9 cases of premature delivery and 1 case of abortion.Conclusion Pregnant patient with ovarian benign tumors should be alert to the occurrence of complications and surgical intervention during pregnancy is safe and feasible.
