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[超声筛查在胎儿卵巢囊肿中的应用价值评估]

[Assessment of the usefulness of ultrasound screening in fetal ovarian cysts].

作者信息

Słodki Maciej, Janiak Katarzyna, Respondek-Liberska Maria, Szaflik Krzysztof, Wilczyński Jan, Oszukowski Przemysław, Chilarski Andrzej

机构信息

Zakład Diagnostyki i Profilaktyki Wad Wrodzonych, Instytutu Centrum Zdrowia Matki Polki i Uniwersytetu Medycznego w łodzi.

出版信息

Ginekol Pol. 2008 Feb;79(2):120-5.

PMID:18510091
Abstract

OBJECTIVES

The aim of the study was to assess the usefulness of ultrasound in management and prognosis in fetal ovarian cysts.

MATERIAL AND METHODS

The study included 38 fetuses with cyst in abdominal cavity, who, between 1995 and 2006, underwent an ultrasound examination in our unit at the Polish Mother's Memorial Hospital in Lodz, The Department for Diagnosis and Prevention of Birth Defects.

RESULTS

In all 38 fetuses with cyst in abdominal cavity we have diagnosed 27 (74%) cases of ovarian cyst. In 14 (74%) fetuses cysts regressed spontaneously, including all cysts < or = 40mm (n = 7). In 3 cases with cysts > 40mm needle aspiration has been successfully performed, without any further complications. Surgical neonatal treatment has been performed in 5 cases in prenatal cysts > 40mm without prenatal aspiration. In 3 cases cysts > 40mm regressed spontaneously. Ovarian cysts in 22 (87%) cases were an isolated malformation; in 5 (19%) cases other malformations were present

CONCLUSIONS

  1. Fetal ovarian cysts < or = 40mm required only ultrasound assessment and, in majority of cases, revealed the tendency to spontaneous regression. 2. Cysts > 40mm in maximal diameter have signaled complications more often and required surgical procedure after birth. 3. In utero, aspiration of fetal ovarian cyst > 40mm may lead to cyst regression, making the surgery after birth unnecessary.
摘要

目的

本研究旨在评估超声在胎儿卵巢囊肿管理及预后评估中的作用。

材料与方法

本研究纳入了38例腹腔内有囊肿的胎儿,这些胎儿于1995年至2006年间在位于罗兹的波兰母亲纪念医院诊断与预防出生缺陷科接受了超声检查。

结果

在所有38例腹腔内有囊肿的胎儿中,我们诊断出27例(74%)为卵巢囊肿。14例(74%)胎儿的囊肿自发消退,其中包括所有直径≤40mm的囊肿(n = 7)。3例囊肿直径>40mm的胎儿成功进行了穿刺抽吸,未出现任何进一步并发症。5例产前囊肿直径>40mm且未进行产前抽吸的胎儿出生后接受了手术治疗。3例囊肿直径>40mm的胎儿囊肿自发消退。22例(87%)卵巢囊肿为孤立性畸形;5例(19%)伴有其他畸形。

结论

  1. 直径≤40mm的胎儿卵巢囊肿仅需超声评估,且在大多数情况下有自发消退的趋势。2. 最大直径>40mm的囊肿更常提示并发症,出生后需要进行手术。3. 对于宫内直径>40mm的胎儿卵巢囊肿,穿刺抽吸可能导致囊肿消退,从而无需出生后手术。

相似文献

1
[Assessment of the usefulness of ultrasound screening in fetal ovarian cysts].[超声筛查在胎儿卵巢囊肿中的应用价值评估]
Ginekol Pol. 2008 Feb;79(2):120-5.
2
[Fetal ovarian cysts--420 cases from literature--metaanalysis 1984-2005].[胎儿卵巢囊肿——来自文献的420例病例——1984 - 2005年的荟萃分析]
Ginekol Pol. 2007 Apr;78(4):324-8.
3
[Fetal echocardiography in fetal ovarian cysts].[胎儿卵巢囊肿中的胎儿超声心动图]
Ginekol Pol. 2008 May;79(5):347-51.
4
[Natural history of fetal/newborn ovarian cyst].[胎儿/新生儿卵巢囊肿的自然病史]
Ginekol Pol. 2006 Oct;77(10):764-9.
5
Fetal and neonatal ovarian cysts: what's their real meaning?胎儿及新生儿卵巢囊肿:它们的真正意义是什么?
Clin Exp Obstet Gynecol. 2005;32(2):123-5.
6
[Antenatal diagnosis and postnatal management of ovarian cysts].[卵巢囊肿的产前诊断与产后管理]
Ann Acad Med Stetin. 2006;52(2):45-9.
7
Management of ovarian cyst detected by prenatal ultrasounds.产前超声检查发现的卵巢囊肿的管理。
Eur J Pediatr Surg. 1994 Jun;4(3):137-40. doi: 10.1055/s-2008-1066087.
8
Fetal ovarian cyst decompression to prevent torsion.胎儿卵巢囊肿减压以预防扭转。
J Pediatr Surg. 1997 Oct;32(10):1447-9. doi: 10.1016/s0022-3468(97)90558-3.
9
Fetal echocardiography before and after prenatal aspiration of a fetal ovarian cyst.胎儿卵巢囊肿产前抽吸前后的胎儿超声心动图检查
Ginekol Pol. 2009 Aug;80(8):629-31.
10
[Ultrasonographic diagnosis and prenatal management of fetal ovarian cysts].[胎儿卵巢囊肿的超声诊断及产前处理]
J Gynecol Obstet Biol Reprod (Paris). 2000 Apr;29(2):161-9.

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