Croitoru D P, Aaron L E, Laberge J M, Neilson I R, Guttman F M
Department of Surgery, Montreal Children's Hospital, Quebec, Canada.
J Pediatr Surg. 1991 Dec;26(12):1366-8. doi: 10.1016/0022-3468(91)91034-v.
With more frequent antenatal and postnatal diagnosis, the management of ovarian cysts has become somewhat controversial. Management protocols for simple ovarian cysts have been proposed. The purpose of this study was to establish a management protocol for complex ovarian cysts presenting antenatally and in the first year of life. We reviewed the records of nine infants who underwent surgical treatment for ovarian cysts over a 10-year period (1980 through 1989). Antenatal ultrasound performed between 24 and 34 weeks of gestation showed ovarian cysts in six infants. All six infants had complex cysts ranging in size from 3 to 10 cm on postnatal ultrasound. Exploration with oophorectomy or salpingooophorectomy was carried out at 2 days to 3 months of age for ovarian torsion. Ovarian cysts measuring up to 7 cm were diagnosed postnatally in three infants from 1 day to 7 months of age with ultrasound confirmation of complex, cystic intraabdominal masses. All patients underwent salpingooophorectomy, two for tuboovarian torsion and the third patient for a juvenile granulosa cell tumor. We recommend that all complex ovarian cysts, regardless of size, be surgically removed because they represent torsion, neoplasm, or alternate diagnoses, and removal can prevent possible complications.
随着产前和产后诊断越来越频繁，卵巢囊肿的处理已变得有些具有争议性。已经提出了针对单纯性卵巢囊肿的处理方案。本研究的目的是建立针对产前及出生后第一年出现的复杂性卵巢囊肿的处理方案。我们回顾了10年间（1980年至1989年）9例接受卵巢囊肿手术治疗的婴儿的记录。妊娠24至34周期间进行的产前超声检查显示6例婴儿有卵巢囊肿。所有6例婴儿出生后超声检查显示为复杂性囊肿，大小从3厘米至10厘米不等。因卵巢扭转，在2日龄至3月龄时进行了卵巢切除术或输卵管卵巢切除术探查。3例1日龄至7月龄的婴儿出生后经超声证实腹腔内有复杂性囊性肿块，诊断为卵巢囊肿，最大直径达7厘米。所有患者均接受了输卵管卵巢切除术，其中2例因输卵管卵巢扭转，第3例因青少年颗粒细胞瘤。我们建议，所有复杂性卵巢囊肿，无论大小，均应手术切除，因为它们可能代表扭转、肿瘤或其他诊断，切除可预防可能的并发症。
