Surgical management of benign ovarian tumors in pregnancy


如何引用文章

全文:

开放存取 开放存取
受限制的访问 ##reader.subscriptionAccessGranted##
受限制的访问 订阅或者付费存取

详细

Aim. To improve diagnosis and treatment outcomes of benign ovarian tumors (BOT) in pregnancy. Materials and methods. The study comprised 62 pregnant patients who underwent laparoscopic (n = 47) and laparotomic (n = 15) surgery for BOT. A between-group comparative analysis of clinical data was conducted. Results. Morphological types of BOT included teratoma (6/17), mucinous cystadenoma (1/17), simple serous cyst (5/17), follicular cyst (3/17), and endometriosis (2/17). The study findings showed a significant increase in the size of BOTs during pregnancy (p = 0.0003). Laparoscopic access was associated with less blood loss (p = 0.0003) and pain (p = 0.001), which helped avoid postoperative narcotic analgesics; hospital stay was shorter (p = 0.04). Conclusion. Early diagnosis and treatment of BOT allow prolongation of pregnancy to the full-term birth with the prevention of pregnancy complications.

全文:

受限制的访问

作者简介

S. Barinov

Omsk State Medical University of Minzdrav of Russia

Email: barinov_omsk@mail.ru

I. Gachkailo

Omsk State Medical University of Minzdrav of Russia

Email: vanes_00@mail.ru

O. Lazareva

Omsk State Medical University of Minzdrav of Russia

Email: lazow@mail.ru

L. Shkabarnya

Omsk Regional Clinical Hospital

Email: l_shka@mail.ru

参考

  1. Баринов С.В., Корнеев Б.В., Гребенюк М.В. и др. К вопросу об оперативном лечении доброкачественных новообразований яичников при беременности. Журнал акушерства и женских болезней. 2015; 64 (4): 13-20. https://doi.org/10.17816/JOWD64413-20
  2. Mukhopadhyay A., Shinde A., Naik R. Ovarian cysts and cancer in pregnancy. Best Pract Res Clin Obstet Gynaecol. 2016; 33: 58-72. doi: 10.1016/j. bpobgyn.2015.10.015
  3. Ye P., Zhao N., Shu J., et al. Laparoscopy versus open surgery for adnexal masses in pregnancy: a meta-analytic review. Arc Gynecol Obstet. 2019; 299(3): 625-34. doi: 10.1007/s00404-018-05039-y
  4. Zagouri F., Dimitrakakis C., Marinopoulos S. et al. Cancer in pregnancy disentangling treatment modalitities. ESMO Open. 2016; 1(3): e000016. doi: 10.1136/esmoopen-2015-000016
  5. De Haan J., Verheecke M., Amant F. Management of ovarian cysts and cancer in pregnancy. Facts Views Vis Obgyn. 2015; 7(1): 25-31. PMCID: PMC4402440
  6. Соломатина А.А., Кавтеладзе Е.В. Опухоли и опухолевидные образования яичников при беременности. Акушерство и гинекология: новости, мнения, обучение. doi: 10.24411/2303-96982017-00023
  7. Герасимова А.А., Швырев С.Л., Шевченко Ю.В., Гус А.И., Клименко П.А. Характеристика ультразвуковых критериев образований придатков матки у беременных. Вестник РГМУ. 2013; 1: 35-40. eLIBRARY ID: 24329448
  8. Урманчеева А.Ф., Кутушева Г.Ф., Ульрих Е.А. Опухоли яичника (клиника, диагностика и лечение). СПб.: ООО «Изд-во Н-Л», 2012. 43 с.
  9. Чекини Д.А., Трякин А.А., Федянин М.Ю., Тюляндин С.А. Злокачественные герминогенные опухоли яичников: эпидемиология, клиника, диагностика, лечение. Вестник РОНЦ им. Н.Н. Блохина. 2016; 2: 39-46.
  10. Lu J., Zheng Zh., Zhang Q., et. al. Measurement of HE4 and CA125 and establishment of reference intervals for the ROMA index in the sera of pregnant women. 2018; 32(5): e22368. doi: 10.1002/jcla.22368
  11. Ball E., Waters N., Cooper N., et al. Evidence-Based Guideline on Laporoscopy in Pregnancy. Commissioned by the British Society for Gynaecological Endoscopy (BSGE). Royal Coll Obst Gynaecol (RCOG). 2019; 11(1): 5-25.
  12. Fauvet R., Brzakowski M., Morice P. et al. Borderline ovarian tumors diagnosed during pregnancy exhibit a high incidence of aggressive features: results of a French multicenter study. An Oncol. 2012; 23(6): 1481-7. https://doi. org/10.1093/annonc/mdr452
  13. Fan-Hlan Koo, Kuan-Chin Wang, et al. An 11-year experience with ovarian surgery during pregnancy. J. Chin Med Associat. 2013; 76: 452-7. http:// dx.doi.org/10.1016/j.jcma.2013.04.008
  14. Ngu S.F, Cheung V.Y., Pun T.C. Surgical management of adnexal masses in pregnancy. JSLS. 2014; 18:71-5. doi: 10.4293/108680813X13693422521007. and tumor-like lesions of the ovaries. Onkoginekologiya. 2014; 2: 27-32. (in Russian)]. eLIBRARY ID: 22590401
  15. Мартынов С.А., Жорданиа К.И., Адамян Л.В., Данилов А.Ю. Особенности 16. диагностики и хирургического лечения беременных с опухолями и опухолевидными образованиями яичников. Онкогинекология. 2014; 2: 27-32

补充文件

附件文件
动作
1. JATS XML

版权所有 © Bionika Media, 2020
##common.cookie##