Lavery J P, Koontz W L, Layman L, Shaw L, Gumpel U
Surg Gynecol Obstet. 1986 Oct;163(4):319-23.
Of 3,918 obstetric patients who underwent scanning during the first 20 weeks of gestation, 94 had sonolucent adnexal masses identified. These represented predominantly the corpus luteum of pregnancy. The incidence of such a mass significantly declined after the tenth gestational week. This pattern of degeneration is physiologic and represents the normal course of events for the ovary in the first half of pregnancy. Characteristics of these masses and indications for operative intervention are discussed. The obstetric outcome for eight patients who underwent surgical treatment was uncomplicated. Guidelines for management of significant adnexal masses in pregnancy is similar to that of the nonpregnant state.
在3918例妊娠前20周接受扫描的产科患者中，94例发现附件区有透声性包块。这些包块主要为妊娠黄体。此类包块的发生率在妊娠第10周后显著下降。这种退化模式是生理性的，代表了妊娠前半期卵巢的正常变化过程。文中讨论了这些包块的特征及手术干预指征。8例接受手术治疗的患者产科结局均无并发症。妊娠时显著附件包块的处理指南与非妊娠状态相似。
