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目的探讨手术治疗妊娠合并卵巢肿瘤的临床疗效。方法对于44例妊娠合并卵巢肿瘤患者根据不同病情采取相应的手术治疗。其中对于在孕早期发现卵巢肿瘤的患者于孕16周～20周时行卵巢肿瘤剥除术,对于在孕中期发现的患者于足月剖宫产时行卵巢肿瘤剥除术,对于卵巢肿瘤急性蒂扭转患者行附件切除术,对于在剖宫产术中发现的患者同时行卵巢肿瘤剥除术;对于在分娩过程当中发现的患者于产后行卵巢肿瘤剥除术。结果本组卵巢肿瘤剥除术及附件切除术均顺利成功,术后无大量阴道流血或流液情况发生,患者伤口均一期愈合。3例于孕中期发生肿瘤蒂扭转及5例于孕早期发现者术后均给予保胎治疗,B超显示胎儿发育良好,妊娠稳定至足月妊娠。本组44例孕产妇中有36例行剖宫产术结束妊娠;新生儿全部存活,情况良好。结论手术治疗妊娠合并卵巢肿瘤的疗效肯定。尽可能早期的正确诊断,根据患者的不同情况采取相应的手术方式是提高疗效,保证母子平安的关键。
Objective To investigate the clinical efficacy of surgical treatment of pregnancy with ovarian cancer. Methods 44 cases of pregnancy with ovarian cancer patients according to different conditions to take the appropriate surgical treatment. For patients with ovarian tumors found in early pregnancy ovariectomized at 16 weeks to 20 weeks of gestation, ovariectomy for full-term cesarean section in the second trimester of pregnancy, acute pedicle torsion of ovarian tumors Patients underwent adjuvant resection for concurrent ovarian tumor stripping in patients found during cesarean delivery and for ovariectomized patients postpartum in the midst of childbirth. Results This group of ovarian tumor stripping and adjuvant resection were successful, no postoperative vaginal bleeding or fluid situation occurred, the wounds were healed. 3 cases of tumor torsion in the second trimester and 5 cases were found in early pregnancy after pregnancy were given miscarriage treatment, B-ultrasound showed good fetal development, stable pregnancy to full-term pregnancy. The group of 44 pregnant women in 36 cases of cesarean delivery end of pregnancy; all newborns survived in good condition. Conclusion Surgical treatment of ovarian tumors in pregnancy with positive effect. Correct diagnosis as early as possible, according to the different circumstances of patients to take the appropriate surgical approach is to improve the efficacy and ensure the mother and child safety.