Słodki Maciej, Respondek-Liberska Maria
Zakład Diagnostyki i Profilaktyki Wad Wrodzonych, Instytutu Centrum Zdrowia Matki Polki i Uniwersytetu Medycznego w Lodzi.
Ginekol Pol. 2007 Apr;78(4):324-8.
Despite an improvement in prenatal ultrasonographic diagnosis, the management of fetal ovarian cysts remains controversial. 420 fetuses with ovarian cyst from Medline data base have been analyzed. In 209 cases (50%), the cysts regressed spontaneously and in 145 cases (35%) cysts were complicated by torsion and intracystic hemorrhage. Surgical treatment was performed in 174 cases (41%) of neonates. Cysts < 50mm regressed spontaneously in 98% (n = 79), and cysts > 50mm in 93% resulted in complications (n = 14). After the diagnosis of fetal ovarian cysts < 50mm, serial ultrasound monitoring was recommended by the vast majority of the authors. In cases of > 50mm cysts, needle aspiration was an option in selected cases (n = 28). Spontaneous regression cysts > 50mm after needle aspiration was observed in 89% (n = 25) of the cases. Prenatal aspiration of ovarian cysts appears effective and safe, however, in the course of the last twenty years it has been performed relatively rarely.
尽管产前超声诊断有所改善，但胎儿卵巢囊肿的处理仍存在争议。对来自医学在线数据库的420例患有卵巢囊肿的胎儿进行了分析。209例（50%）囊肿自发消退，145例（35%）囊肿并发扭转和囊内出血。174例（41%）新生儿进行了手术治疗。直径<50mm的囊肿98%（n = 79）自发消退，直径>50mm的囊肿93%出现并发症（n = 14）。绝大多数作者建议，在诊断出胎儿卵巢囊肿<50mm后，进行系列超声监测。对于直径>50mm的囊肿，在某些特定病例（n = 28）中可选择穿刺抽吸。89%（n = 25）的病例在穿刺抽吸后直径>50mm的囊肿出现自发消退。产前抽吸卵巢囊肿似乎有效且安全，然而，在过去二十年中，这种操作相对较少进行。
