González N, Ruiz de Temiño M, Riazuelo G, Elías J, Esteban J A
Hospital Materno-Infantil Miguel Servet, Zaragoza.
Cir Pediatr. 1999 Jan;12(1):22-5.
Before of the implantation of ultrasound there were few cases of ovarian cysts reported in literature because only the very large ones or those which result in mechanical complications produce symptoms. The authors report 17 cases of neonatal ovarian cysts diagnosed by prenatal ultrasound. All of the infants were asymptomatic after birth despite their size or being twisted. The diameter of the cysts varied from 2.5 to 10 cm. Five neonates were treated conservatively and the cysts resolved spontaneously. 12 infants underwent surgery following postnatal confirmation, 9 of these patients had complex ovarian cysts and at laparotomy all of them had torsion of the ovary, three of them were autoamputated, and 3 uncomplicated cysts because their large size or their association to a nephroblastoma. Simple cysts of the ovary tend to resolve spontaneously and therefore, must be treated conservatively. Complex cysts or simple ones larger than 4 cm that do not disappear should undergo surgical removal.
在超声检查应用之前，文献中报道的卵巢囊肿病例很少，因为只有非常大的囊肿或导致机械性并发症的囊肿才会产生症状。作者报告了17例经产前超声诊断的新生儿卵巢囊肿病例。所有婴儿出生后均无症状，无论囊肿大小或是否发生扭转。囊肿直径从2.5厘米到10厘米不等。5例新生儿接受了保守治疗，囊肿自行消退。12例婴儿在出生后确诊后接受了手术，其中9例患者有复杂卵巢囊肿，剖腹手术时所有患者均发生卵巢扭转，其中3例卵巢已自行坏死，3例因囊肿较大或与肾母细胞瘤相关而无并发症。卵巢单纯囊肿往往会自行消退，因此必须进行保守治疗。复杂囊肿或直径大于4厘米且未消失的单纯囊肿应进行手术切除。
