未经证实:卵巢成熟囊性畸胎瘤(MCT)是孕妇中最常见的肿瘤。胎膜早破(PROM)是典型的妊娠并发症;然而,MCT和PROM之间的关系未知。因此,我们的目的是确定MCT是否与妊娠期PROM的发生有关.
UNASSIGNED:回顾性分析2017年1月至2021年8月孕期附件肿块患者的资料。在剖宫产期间或阴道分娩后进行卵巢囊肿切除术。采用单因素和多因素logistic回归模型进行统计分析。
UNASSIGNED:共纳入234例具有组织病理学结果的患者。在这些患者中,21在怀孕期间发生了PROM,其中11例被诊断为MCT。与其他亚型相比,MCT(p=0.025)与PROM有较强的相关性,是PROM的独立危险因素(比值比[OR],2.811;95%置信区间[CI],1.096-7.215;p=0.032)。此外,我们发现直径>5cm(p=0.0037)的MCT比直径<5cm的MCT更有可能促进PROM的发展。
UNASSIGNED:MCT是妊娠期胎膜早破的独立危险因素。临床医师应充分考虑MCT孕妇的积极行动和预防性临床治疗,特别是那些直径≥5厘米的,减少与MCT相关的PROM相关的临床并发症。
UNASSIGNED: Ovarian mature cystic teratomas (MCTs) are the most common tumors in pregnant women. The premature rupture of membranes (PROM) is a typical complication of pregnancy; however, the relationship between MCT and PROM is unknown. Therefore, we aimed to determine whether MCT is associated with the occurrence of PROM during pregnancy.
UNASSIGNED: The data of patients with adnexal masses during pregnancy between January 2017 and August 2021 were retrospectively analyzed. Ovarian cystectomy was performed during cesarean delivery or after vaginal delivery. Univariate and multivariate logistic regression models were used for statistical analysis.
UNASSIGNED: A total of 234 patients with histopathological results were included. Among these patients, 21 occurred PROM during pregnancy, of which 11 were diagnosed with MCT. Compared with other subtypes, MCT (p=0.025) showed a stronger correlation with PROM and was an independent risk factor for PROM (odds ratio [OR], 2.811; 95% confidence interval [CI], 1.096-7.215; p=0.032). Furthermore, we found that MCT with a diameter >5 cm (p=0.0037) was more likely to promote the development of PROM than those that with a diameter <5 cm.
UNASSIGNED: MCT was an independent risk factor for PROM during pregnancy. Positive actions and preventative clinical treatments should be fully taken into consideration by clinicians for pregnant women with MCTs, especially those ≥5 cm in diameter, to reduce the clinical complications related to MCT-associated PROM.