THE FEATURES OF PRETERM PERIOD AND DELIVERY IN PPATIENTS WITH BENIGN OVARIAN NEOPLASMS

A. V. Kalashnik, L. N. Shcherbakova, M. V. Alexeenkova, О.Б. Панина
In: Surgical practice · 2020 · pp. 64–71 · doi:10.38181/2223-2427-2020-1-64-71 · W3036716622
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This retrospective study found that pregnant patients with endometrioid ovarian cysts had a significantly higher risk of threatened miscarriage and preterm delivery compared to the general population.

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This retrospective study analyzed pregnancy and delivery outcomes in 88 women with benign ovarian neoplasms, comparing those with endometrioid cysts to those with cystadenomas or teratomas against a large control group. The researchers found no cases of ovarian complications such as torsion or rupture during pregnancy, but observed a significantly higher rate of threatened miscarriage before 22 weeks in the endometrioid cyst group compared to controls. However, there were no statistically significant differences in overall obstetric or delivery complications between the two neoplasm groups or when compared to the general population. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Abstract

Abstract : Nowadays medical society is facing increasing numbers of adnexal masses in women of reproductive age, and especially challenging for the diagnostic workup and management are such cases during the pregnancy. Our study has a primary focus on the specific features of the pregnancy and delivery in patients with benign ovarian neoplasms. Materials and methods : This is a retrospective study that included 88 pregnant patients with benign ovarian neoplasms that delivered in our facility during the period from 2014 to 2016. The patients were divided into two groups, the 1st group included 45 pregnant women with endometrioid ovarian cysts, the 2nd group consisted of 43 pregnant women with cystadenomas and ovarian teratomas. As a control group, we used cumulative statistical data from our facility and several related organizations, representing the general population. Results : It was observed, that the odds ratio of the threatened miscarriage and the threat of preterm delivery was significantly higher in patients with endometrioid ovarian cysts compared to the general population. However, the frequency of complications of the preterm period and delivery in patients with cystadenomas and ovarian teratomas showed no significant difference, compared to populational data. There were no significant differences in complications between patients with endometrioid ovarian cysts and cystadenomas / ovarian teratomas. Conclusion : Our research provides additional data on pregnancies with adnexal masses, which can help in the prevention of complications and choosing the modality of treatment in pregnant patients.
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ТЕЧЕНИЕ БЕРЕМЕННОСТИ И РОДОВ У ПАЦИЕНТОК С ДОБРОКАЧЕСТВЕННЫМИ ОБРАЗОВАНИЯМИ ЯИЧНИКОВ https://doi.org/10.38181/2223-2427-2020-1-64-71 Аннотация Резюме: в последние годы отмечается рост обнаружения доброкачественных образований яичников, в том числе и у беременных женщин. Предметом дискуссий является возможность выбора консервативной тактики ведения беременных пациенток с образованиями яичников, так как оперативное вмешательство увеличивает частоту осложненного течения беременности. Целью исследования явилось изучение особенностей течения беременности и родов на фоне образований яичников. Материалы и методы: в ретроспективное исследование были включены 88 беременных, родивших в период с 2014 по 2016 год в ГБУЗ «Центр планирования семьи и репродукции» ДЗМ. Пациентки были разделены на две группы, в 1-ю группу вошли 45 беременных с эндометриоидными кистами яичников, 2-ю группу составили 43 беременные с цистаденомами и тератомами яичников. В качестве группы сравнения (N=13206) использовались данные ГБУЗ ЦПСиР ДЗМ и 15 женских консультаций за 2016 год (Форма №32). Результаты: осложнений со стороны образований яичников (перекрут, разрыв) во время беременности выявлено не было. У пациенток с эндометриоидными кистами яичников частота угрозы прерывания беременности до 22 недель была достоверно выше, чем в группе сравнения. Однако частота осложнений беременности и родов при наличии цистаденом и тератом яичников от группы сравнения не отличалась. Достоверных различий в частоте осложнений беременности и родов между пациентками с эндометриоидными кистами яичников и цистаденомами/ тератомами яичников не выявлено. Заключение: В исследовании изучены особенности течения беременности и родов у пациенток с доброкачественными образованиями яичников, что может помочь в прогнозе и профилактике возникновения осложнений у данной группы беременных. Ключевые слова Об авторах А. А. КалашникРоссия Калашник Анастасия Александровна - ординатор кафедры акушерства и гинекологии факультета фундаментальной медицины Ломоносовский пр-т., дом 27, корп. 1, Москва, 119991 Л. Н. Щербакова Россия Щербакова Лия Ниязовна - к.м.н., доцент кафедры акушерства и гинекологии факультета фундаментальной медицины Ломоносовский пр-т., дом 27, корп. 1, Москва, 119991 М. В. Алексеенкова Россия Алексеенкова Мария Владимировна – ассистент кафедры акушерства и гинекологии факультета фундаментальной медицины Ломоносовский пр-т., дом 27, корп. 1, Москва, 119991 О. Б. Панина Россия Панина Ольга Борисовна - д.м.н., заведующая кафедрой акушерства и гинекологии факультета фундаментальной медицины Ломоносовский пр-т., дом 27, корп. 1, Москва, 119991 Список литературы 1. Адамян Л.В., Попов А.А., Козаченко А.В. Беременность и доброкачественные опухоли яичников // Акушерство и гинекология: новости, мнения, обучение. 2015. Т. 1, № 4. С. 58–62. 2. Oprescu N., Ionescu C., Dragan I. 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Рецензия Для цитирования: Калашник А.А., Щербакова Л.Н., Алексеенкова М.В., Панина О.Б. ТЕЧЕНИЕ БЕРЕМЕННОСТИ И РОДОВ У ПАЦИЕНТОК С ДОБРОКАЧЕСТВЕННЫМИ ОБРАЗОВАНИЯМИ ЯИЧНИКОВ. Хирургическая практика. 2020;(1):64-71. https://doi.org/10.38181/2223-2427-2020-1-64-71 For citation: Kalashnik A.A., Shcherbakova L.N., Alexeenkova M.V., Panina O.B. THE FEATURES OF PRETERM PERIOD AND DELIVERY IN PPATIENTS WITH BENIGN OVARIAN NEOPLASMS. Surgical practice (Russia). 2020;(1):64-71. (In Russ.) https://doi.org/10.38181/2223-2427-2020-1-64-71 JATS XML

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