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目的探讨现阶段妊娠合并卵巢肿物的发现时机及病理类型。方法回顾性总结杭州市市一集团两家医院产科2011年1月至2016年12月收治孕产妇共36 101例,同期收治妊娠合并卵巢肿物的患者300例,记录卵巢肿物发现时机、病理类型及妊娠结局。结果本组数据显示,现阶段卵巢肿物发现时机以术中最多,占比74.67%(224/300),其次为早孕期、孕前、孕中晚期、产后。病理类型以卵巢瘤样病变最多见,占比35.69%(96/269),其中卵巢子宫内膜异位症占比47.92%(46/96);其次为卵巢生殖细胞来源的良性肿瘤,占比18.22%(49/269),交界性卵巢肿瘤少见,占比1.86%(5/269),无1例恶性肿瘤,无1例急腹症发生。结论妊娠合并卵巢肿物以良性病变多见,孕期详细宣教及严密监测,可等待至产时或产后处理,减少医源性早产或流产,改善母婴结局。
Objective To explore the timing and pathological types of pregnancy complicated with ovarian tumor at the present stage. Methods A retrospective review of 361 cases of obstetrics and gynecology admitted to two hospitals of Hangzhou First Group from January 2011 to December 2016 with 300 cases of pregnancy complicated with ovarian tumors was recorded in the same period. The timing of ovarian tumor finding, pathology Type and pregnancy outcome. Results The data of this group showed that the most time was found in ovarian tumor at this stage, accounting for 74.67% (224/300), followed by early pregnancy, pre-pregnancy, middle-late pregnancy and postpartum. Pathological types of ovarian tumor-like lesions the most common, accounting for 35.69% (96/269), of which ovarian endometriosis accounted for 47.92% (46/96); followed by ovarian germ cell-derived benign tumors, accounting for 18.22% (49/269), borderline ovarian tumors were rare, accounting for 1.86% (5/269), no one malignant tumor, none of acute abdomen occurred. Conclusions Pregnancy with ovarian masses is more common in benign lesions, detailed education and close monitoring during pregnancy, can wait until delivery or postnatal treatment, reduce iatrogenic preterm birth or abortion, and improve maternal and infant outcomes.