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妊娠合并卵巢囊肿

[Pregnancy complicated by ovarian cysts].

作者信息

Tsankova M, Marinov B

出版信息

Akush Ginekol (Sofiia). 2001;40(3):38-40.

PMID:11785366
Abstract

OBJECTIVE

To study outcome of pregnancy complicated by ovarian cysts, clinical behavior of functional cysts, efficiency of conservative and operative management during pregnancy and labor.

MATERIAL AND METHODS

Twenty-three women with diagnosed ovarian cysts less than 5-6 cm in the early first trimester of pregnancy were followed by a two year period (1999-2000). Relationship between the sonographically change of cysts and pregnancy outcome was determinate.

RESULTS

In a group of 23 women with ovarian cysts, 16 were successful pregnancies as followed: 12 ended in normal vaginal deliveries and 4 delivered by cesarean (1 obstetric indicated; 2 persisted cysts--serous and mucinous custadenoma; 1 after operated in 18 gest. Week border line cystadenoma). Of the last 7 pregnancies were operated and 3 electively terminated (1 blighted ovum and 2 missed abortions).

CONCLUSION

Ovarian cyst in first trimester of pregnancy with maximum size 5-6 cm usually were reached until the 7-8 week, maybe followed by functional corpus luteal cysts, involuated until 14 gest. Week, rarely persisting and isn't expected to grow after 14 gest. Week or to cause complication in pregnancy and labor.

摘要

目的

研究妊娠合并卵巢囊肿的结局、功能性囊肿的临床行为、孕期及分娩期保守治疗和手术治疗的效果。

材料与方法

对23例在妊娠早期(孕12周前)诊断为卵巢囊肿且囊肿直径小于5 - 6厘米的孕妇进行了为期两年(1999 - 2000年)的随访。确定囊肿的超声变化与妊娠结局之间的关系。

结果

在这组23例患有卵巢囊肿的孕妇中,16例妊娠成功,情况如下:12例顺产,4例剖宫产(1例因产科指征;2例囊肿持续存在——浆液性和黏液性囊腺瘤;1例在孕18周时对交界性囊腺瘤进行了手术)。其余7例妊娠进行了手术,3例选择性终止妊娠(1例胚胎停育,2例稽留流产)。

结论

妊娠早期最大直径为5 - 6厘米的卵巢囊肿通常在孕7 - 8周前出现,可能随后发展为功能性黄体囊肿,在孕14周前自行消退,很少持续存在,预计在孕14周后不会继续生长,也不会在孕期及分娩期引起并发症。

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