【摘要】 ①目的　对妊娠并卵巢肿瘤的临床特点进行分析。②方法　对本院 1998年 1月～ 2 0 0 3年 12月收治的 10 872例孕产妇的临床资料进行了回顾性分析。③结果　 10 872例孕产妇中并卵巢肿瘤者 72例 ,发生率为6 .6‰。发病高峰年龄与生育高峰年龄相一致。其病理结果示良性者 70例 ,交界性者 1例 ,恶性者 1例。全部病例均通过手术治疗 ,其中 4 8例在剖宫产术中发现 ,同时行卵巢肿瘤切除术。恶性者同时行广泛子宫切除术加双侧附件切除术。④结论　妊娠并卵巢肿瘤虽然恶性者较少见 ,但因受妊娠影响症状不典型而不易获得早期诊断。妊娠早期行妇科检查是发现卵巢肿瘤的最好方法。此外 ,重视B超检查及在剖宫产术中仔细探查双侧附件 ,也是发现卵巢肿瘤的重要手段更多还原

【Abstract】 Objective To analyze the characteristics of pregnancies with ovarian neoplasms. Methods The clinical data of 10 872 cases of pregnant women from Jan 1998 to Dec 2003 of our hospital were analyzed retrospectively. Results Se- venty-two cases of pregnancy were proved to be with ovarian neoplasms, the incidence being 6.6‰. The peak age coincided with fertile peak age. The pathology showed 70 benign, one borderline tumor, and one malignant. All this cases underwent surgical treatment, in which, 48 women received ovariectomy for neoplasms of the ovarium during the caesarean section. Extensive hysterectomy and bilateral adnexectomy were performed for those with malignant tumors. Conclusion Because of pregnant influence and atypical symptoms, pregnancy with malignant ovarian neoplasms are difficult to be diagnosed early. The best way is to carry out a gynecologic examination at first trimester of pregnancy. Furthermore, ultrasonography and a carefull check of bilateral annex during caesarean section are also important measures to discover the tumor.更多还原