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目的探讨妊娠合并卵巢肿瘤的临床病理特征及诊断处理方案。方法对手术、病理诊断明确的78例妊娠合并卵巢肿瘤孕妇的临床病理资料进行回顾性分析。结果经手术、病理诊断明确的妊娠合并卵巢肿瘤78例,占同期妊娠者的0.09%(78/84253),良性肿瘤占96.15%(75例),以良性畸胎瘤、上皮性囊肿多见。卵巢交界性肿瘤占2.56%(2例),卵巢恶性肿瘤占1.28%(1例),并发症以卵巢肿瘤蒂扭转多见。大多行一侧附件切除术或卵巢肿瘤剔出术。结论妊娠合并卵巢肿瘤多为良性,无明显症状,应注意早期诊断,处理应根据孕周和肿瘤的性质区别对待。
Objective To investigate the clinicopathological features and diagnosis and treatment of pregnancy complicated with ovarian tumors. Methods A retrospective analysis was performed on the clinicopathological data of 78 pregnant women with pregnancy complicated with ovarian tumors with definite diagnosis of pathology. Results There were 78 cases of ovarian tumors with pregnancy diagnosed by operation and pathology, accounting for 0.09% (78/84253) of the pregnant women in the same period and 96.15% (75 cases) of benign tumors. The benign tumors and epithelial cysts were more common. Ovarian borderline tumors accounted for 2.56% (2 cases), ovarian cancer accounted for 1.28% (1 case), complications of ovarian tumors torsion more common. Most of the line side of the annex excision or ovarian tumor excision. Conclusion Pregnancy with ovarian tumors are mostly benign, no obvious symptoms, should pay attention to early diagnosis, treatment should be based on gestational age and the nature of the tumor treated differently.