经阴道超声检查在孕早期发现的直径大于或等于3 cm的偶然单纯性卵巢囊肿的患病率。

The prevalence of incidental simple ovarian cysts >or= 3 cm detected by transvaginal sonography in early pregnancy.

作者信息

Glanc Phyllis, Brofman Nicole, Salem Shia, Kornecki Anat, Abrams Jason, Farine Dan

机构信息

Department of Medical Imaging, Sunnybrook Health Sciences Centre, Women's College Hospital, Toronto, ON, Canadda.

出版信息

J Obstet Gynaecol Can. 2007 Jun;29(6):502-6. doi: 10.1016/s1701-2163(16)32460-4.

DOI:10.1016/s1701-2163(16)32460-4

PMID:17568482

Abstract

OBJECTIVE

To determine the prevalence of simple ovarian cysts of >or= 3 cm diameter detected by transvaginal sonography (TVS) in a population of asymptomatic women in early pregnancy.

METHODS

We conducted a retrospective review of 10,830 consecutive women presenting prior to 14 weeks' gestational age (GA) for early dating TVS. The records of all women with simple cysts >or= 3 cm in diameter were included. The study population was divided into five groups by GA: >or= 6 weeks; 6.1-8 weeks; 8.1-10 weeks; 10.1-12 weeks; and 12.1-14 weeks.

RESULTS

A simple cyst >or= 3 cm in diameter was present in 4.9% of women at >or= 6 weeks' gestation, in 5.1% between 6.1 and 8 weeks, in 5.3% between 8.1 and 10 weeks, in 3.2% between 10.1. and 12 weeks, and in 1.5% between 12 and 14 weeks. Overall, a simple cyst >or= 3 cm was present in 516 women (4.8%). Prior to 10 weeks, 5.1% had simple cysts >or= 3 cm, dropping to 2.7% after 10 weeks, a statistically significant decrease (P<0.0001). Between 10.1 weeks and 12 weeks, the prevalence dropped to 3.2%, and then to 1.5% in the 12.1-14 week group.

CONCLUSION

This investigation provides reference data on the prevalence of detecting simple ovarian cysts >or= 3 cm by TVS in an asymptomatic early pregnancy population. A progressive decline in the frequency of detecting simple ovarian cysts >or= 3 cm begins after 10 weeks' gestational age.

摘要

目的

确定经阴道超声检查（TVS）在早孕无症状女性人群中检测到直径≥3 cm单纯性卵巢囊肿的患病率。

方法

我们对10830例妊娠14周前因早期孕周测定行TVS检查的连续女性进行了回顾性研究。纳入所有直径≥3 cm单纯性囊肿女性的记录。研究人群按孕周分为五组：≥6周；6.1 - 8周；8.1 - 10周；10.1 - 12周；以及12.1 - 14周。

结果

妊娠≥6周的女性中，4.9%存在直径≥3 cm的单纯性囊肿；6.1至8周之间为5.1%；8.1至10周之间为5.3%；10.1至12周之间为3.2%；12至14周之间为1.5%。总体而言，516名女性（4.8%）存在直径≥3 cm的单纯性囊肿。孕10周前，5.1%有直径≥3 cm的单纯性囊肿，10周后降至2.7%，差异有统计学意义（P<0.0001）。在10.1周至12周之间，患病率降至3.2%，然后在12.1 - 14周组降至1.5%。