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[目的]探讨剖宫产术中发现卵巢异常的诊断、处理及临床意义。[方法]回顾性分析2007年2月至2011年1月剖宫产术中发现卵巢异常147例患者的临床资料和病理检查结果。[结果]剖宫产孕妇中卵巢异常发生率为1.02%(147/14454),卵巢良性肿瘤101例(68.71%),卵巢瘤样病变43例(29.25%),卵巢交界性肿瘤2例(1.36%),卵巢恶性肿瘤1例(0.68%)。[结论]剖宫产术中对双侧卵巢的视诊、触诊、必要时剖视、冰冻切片组织学检查应列为术中常规,建议术中对卵巢的异常包块应同时手术,常规病理学检查,减少二次进腹手术的机会。
[Objective] To investigate the diagnosis, treatment and clinical significance of ovarian abnormalities found during cesarean section. [Methods] The clinical data and pathological findings of 147 cases of ovarian abnormalities found during cesarean section from February 2007 to January 2011 were retrospectively analyzed. [Results] The incidence of ovarian abnormalities in cesarean section pregnant women was 1.02% (147/14454), 101 cases of ovarian benign tumors (68.71%), 43 cases of ovarian neoplasia (29.25%) and 2 cases of borderline ovarian tumors (1.36 %), Ovarian cancer in 1 case (0.68%). [Conclusion] Visual examination, palpation, cross-sectional observation if necessary, and histological examination of frozen section in cesarean section should be listed as routine during operation. It is suggested that simultaneous intraoperative ovarian abnormal mass should be operated during operation. Conventional Pathological examination to reduce the chance of secondary abdominal surgery.