国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2017, Vol. 36 ›› Issue (2): 107-110.

• 论著 • 上一篇    下一篇

妊娠合并恶性肿瘤的临床研究

曹亚男1,徐冰2,刘一凡1,姚元庆3   

  1. 1. 中国人们解放军总医院
    2.
    3. 中国人民解放军总医院
  • 收稿日期:2017-02-21 修回日期:2017-02-26 出版日期:2017-03-15 发布日期:2017-03-15
  • 通讯作者: 姚元庆 E-mail:yqyao@126.com

Clinical Study on Pregnancy Complicated with Malignant Tumor

  • Received:2017-02-21 Revised:2017-02-26 Published:2017-03-15 Online:2017-03-15

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摘要： 摘要 目的 根据我院妊娠合并恶性肿瘤患者的诊治经过及胎儿、孕妇预后，探讨此类疾病特点，降低漏诊率，提高诊疗效率和母婴预后。方法 回顾性分析中国人民解放军总医院2010年-2016年间诊断妊娠合并恶性肿瘤的22例患者的临床资料并对患者随访。结果 妊娠合并恶性肿瘤前三位分别是消化系统（6例）、生殖系统(5例)、血液系统（3例）和免疫系统（3例）。5例患者放弃胎儿，其余孕期行肿瘤手术的3例，行化疗治疗1例，同时行剖宫产和肿瘤手术的5例。54.5%的孕妇未行常规产检，初次确诊时36.4%已处于肿瘤Ⅳ期，产后患者预后差。活产胎儿59.1%为早产儿、54.5%为低出生体重儿。结论 妊娠合并恶性肿瘤漏诊率高，孕期需适时终止妊娠、多科室协作，早诊断是关键。

关键词: 妊娠, 恶性肿瘤, 诊断, 治疗

Abstract: Abstract：Objective To study the diagnosis, treatment and outcome of pregnancy complicated with malignant tumor, in order to analysis the clinical character, reduce the missed diagnosis and improve maternal and infant prognosis. Methods Retrospective analysis 22 pregnant patients complicated with malignant tumor who were treated in Chinese PLA General Hospital from 2010-2016. Results The previous three encountered cancer types were the digestive system neoplasm (n=6), the genital system tumor (n=5), the hematological malignancy and the immune system tumors (n=3). There are 5 patients Choose to give up the baby, 3 patients underwent surgical treatment and 1 patients takes chemotherapy. At the same time, line of cesarean section and tumor surgery patients is 5. 54.5% hadn’t regular prenatal examination. Besides, 36.4% patients’ staging that preliminary confirmed is already Ⅳ. The ratio of premature infants is 59.1%. The ratio of low birth weight infants is 54.5%. Conclusion Malignant tumor during pregnancy has a high rate of missed diagnosis. We should terminate pregnancy timely and cooperate with other departments. Importantly, early diagnosis is the key.

Key words: Pregnancy, Malignant tumor, Diagnosis, Treatment