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相關文獻
- Ovarian Surgery During Pregnancy and Puerperium: Twelve-Year Experience at the Veterans General Hospital-Taipei
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題 名 | Ovarian Surgery During Pregnancy and Puerperium: Twelve-Year Experience at the Veterans General Hospital-Taipei=妊娠期間接受卵巢腫瘤切除手術--臺北榮民總醫院12年之經驗 |
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作 者 | 王鵬惠; 袁九重; 趙湘臺; 余堅忍; 曾仁宇; 洪正修; 楊勉力; 張昇平; 吳香達; 趙灌中; | 書刊名 | 中華醫學雜誌 |
卷 期 | 61:6 1998.06[民87.06] |
頁 次 | 頁324-331 |
分類號 | 417.25 |
關鍵詞 | 併發症; 卵巢腫瘤; 妊娠; Complication; Ovarian tumor; Pregnancy; |
語 文 | 英文(English) |
中文摘要 | 背景:本研究是為了進一步瞭解妊娠中併發卵巢腫瘤的特性及手術的影響,並分析其預 後。方法:本文主要回溯性地對臺北榮民總醫院自1982年1月至1993年12月,這12年間,121 位在懷孕期間接受卵巢腫瘤手術治療婦女進行探討,並作一分析,主要分析重點包括接受手術 時的妊娠週數、其所伴隨之併發症、手術中的發現、病理診斷和病人的預後。 結果:同時期共有33,717 位懷孕婦女,故其發生率為每279位懷孕婦女中有一位。在妊 娠的第二期診斷出之病例佔54.5%。大部份的案例均無症狀,佔79.3%。最常見的腫瘤為良性畸 胎瘤,有38位,佔31.4%。功能性腫瘤(這其中包括黃體及單純性囊腫),有31位,佔25.6%。惡性 卵巢腫瘤有4位,佔3.3%。對擇期性手術的病人而言,接受緊急手術治療的病人有較高的懷孕 流失率(14.1% vs 1%, p=0.009)。而且接受緊急手術治療的病人採取全卵巢併及不併附屬器全切 除之比例亦較高〈57% vs 36%, p=0.03〉。所有在妊娠七週前所做的卵巢手術均導至懷孕流失。 結論;雖然妊娠中併發卵巢腫瘤大多為良性,但有時仍併發急症而須緊急手術,此緊急 手術往往會增加懷孕流失。所以我們強調受孕前檢查的重要性,因為一些非功能性的卵巢腫瘤, 可以先接受手術切除來降低妊娠中因併發卵巢腫瘤而必須接受手術治療的危險。另外,可知妊 娠中併發卵巢腫瘤的預後相當好,只要有良好且充分的手術準備及安排,均可得到很好的預後。 |
英文摘要 | Background: This study was performed in order to assess the surgical effects and char-acteristics of ovarian tumors during pregnancy and analyze their prognosis. Methods: Between 1982 and 1993, 121 patients who had undergone ovarian surgery during pregnancy or puerperium were reviewed at the Veterans General Hospital-Taipei. These patients were analyzed with particular emphasis on the length of gestation at the time of surgery, complications related to the stage of pregnancy, surgical and pathologic findings and the outcome of pregnancy. Results: Ovarian tumors were commonly detected during the second trimester (54.5%) and most of them (79.3%) were asymptomatic. The pathologic review found 38 patients (31.4%) with benign teratoma, 16 patients (13.1%) with corpus luteum and four patients (3.3%) with malignancy. There was a significant difference between emergent ovarian surgery and elective ovarian surgery in the spontaneous fetal wastage rate (14.1 % vs 1 %, p=0.009). Compared with elective surgery, cases necessitating oophorectomy, with or without salpingectomy, increased significantly during emergency surgery (57% vs 36%, p= 0.03). All ovarian surgeries performed before a gestational age of seven weeks resulted in spontaneous fetal wastage. Conclusions: Although the majority of the ovarian tumors detected during pregnancy were benign, emergency laparotomy was sometimes required, which led to an increase in the risk of a fetal wastage. Preconception counseling should be emphasized because early removal of non-functional ovarian tumor before conception, especially teratoma, would decrease the incidence of ovarian surgery during pregnancy. Furthermore, elective and well-prepared surgical intervention appears to be a crucial factor for favorable pregnancy outcome. |
本系統中英文摘要資訊取自各篇刊載內容。