Dyon J F, Sabatier E, Jouk P S, Baudain P
Service de chirurgie générale et infantile, CHRU de Grenoble, France.
Pediatrie. 1990;45(12):857-68.
The authors report on 9 cases of cystic lesion detected by fetal ultrasound echography, uropathies and bowel dilatations having been excluded. The lesions were detected at a fairly advanced stage of pregnancy, during the 3rd trimester and involved 8 girls and 1 boy. Investigation of possible chromosomal and associated anomalies was carried out in each case. Analysis confirmed the frequency of ovarian cysts in the female subjects (6), but also demonstrated the following: 1 case of bowel duplication, 1 cystic Meckel diverticulum, 1 liver biliary cyst (boy). The etiology and diagnostic difficulties and the approach to be adopted are noted. The authors emphasize the frequent signs of complications, especially as regards ovarian cysts. A thorough clinical examination and echographic detection and confirmation of the lesions is indicated followed by early surgical intervention if the cyst persists; so that, particularly in the case of ovarian cysts, the organ in question is preserved to the maximum.
作者报告了9例经胎儿超声心动图检测出的囊性病变病例,已排除泌尿系统疾病和肠道扩张。这些病变在妊娠晚期(孕晚期)被检测到,涉及8名女孩和1名男孩。对每例病例都进行了可能的染色体及相关异常的检查。分析证实了女性受试者中卵巢囊肿的发生率(6例),但也发现了以下情况:1例肠道重复畸形、1例囊性梅克尔憩室、1例肝囊肿(男孩)。文中指出了病因、诊断难点及应采取的方法。作者强调了并发症的常见体征,尤其是卵巢囊肿方面。建议进行全面的临床检查以及对病变进行超声检测和确认,若囊肿持续存在则尽早进行手术干预;这样,特别是对于卵巢囊肿,尽可能保留相关器官。