KẾT QUẢ XỬ TRÍ U BUỒNG TRỨNG Ở BỆNH NHÂN VÔ SINH TẠI BỆNH VIỆN PHỤ SẢN TRUNG ƯƠNG

Abstract

Objective: To describe the clinical and paraclinical characteristics and evaluate the surgical outcomes of ovarian tumors in infertile patients at the National Hospital of Obstetrics and Gynecology. Materials and Methods: A descriptive retrospective and prospective study was conducted on 50 infertile patients with ovarian tumors who underwent surgery from January 1, 2022, to December 31, 2024, at the National Hospital of Obstetrics and Gynecology. Results: The mean age of patients was 30.8 ± 5.3 years, with the majority in the 30–39 age group (52%). Primary infertility accounted for 58% with an average infertility duration of 2.41 years; 28% had a history of abdominal surgery. Most ovarian tumors measured 5–10 cm (74%) and were predominantly hypoechoic (56%). The main surgical procedures were cystectomy or tumor excision (94%); all patients underwent concomitant infertility assessment, of which 32% were found to have tubal occlusion. Histopathology revealed endometriotic cysts as the most common type (52%). The postoperative pregnancy rate was 38%, mainly achieved within 6–12 months after surgery. Conclusion: In infertile patients, ovarian tumors are most frequently endometriotic cysts. Cystectomy is the preferred surgical approach, helping to preserve fertility and improve reproductive outcomes.