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目的探讨剖宫产术中双侧卵巢呈多囊性改变的临床干预及转归分析。方法对四川泸州医学院附属医院2005-01-2009-12剖宫产术中发现存在卵巢多囊改变(直径≥5 cm)36例,对其发生年龄、孕周、卵巢性状、手术处理、转归等方面进行回顾性比较分析。剖宫产术中子宫缝合完毕,探查双附件时发现双侧卵巢呈多囊性增大(5～12 cm)。选择15例进行卵巢楔形切除术,保持最大径线≤5 cm。4例取少许囊壁活检,5例行囊肿穿刺放液,12例未作任何处理,术后随访6个月。结果病理诊断为卵巢黄素囊肿,卵巢的恢复和功能并未受到影响。结论正常妊娠剖宫产术中发现卵巢多囊变为卵巢黄素囊肿,发生与年龄、孕周无关系,部分楔形切除和不做处理对卵巢转归无影响,为妊娠合并卵巢黄素化囊肿是否手术治疗提供确切的证据,提高对正常妊娠时卵巢黄素囊肿的鉴别能力,可避免不必要的手术。
Objective To explore the clinical intervention and prognosis of polycystic ovary in cesarean section. Methods Thirty-six cases of cyst changes (diameter≥5 cm) were found in the Affiliated Hospital of Luzhou Medical College from January 2005 to December 2009 in Cesarean section. Their age, gestational age, ovarian traits, surgical treatment, Attribution and other aspects of retrospective comparative analysis. Cesarean section in the uterus suture is completed, exploration of double attachment was found in both polycystic ovary increased (5 ~ 12 cm). Choose 15 cases of ovarian wedge resection, to keep the largest diameter ≤ 5 cm. 4 patients with a small wall biopsy, 5 patients underwent cyst puncture amputation, 12 patients without any treatment, followed up for 6 months. Results Pathological diagnosis of ovarian flare cysts, ovarian recovery and function has not been affected. Conclusion Ovarian polycystic ovarian cyst was found in normal pregnancy during cesarean section. There was no relationship with age and gestational age. Partial wedge resection and no treatment had no effect on ovarian outcome. Treatment provides exact evidence to improve the ability to identify normal ovarian flavivi cysts during pregnancy, to avoid unnecessary surgery.