Seckin Berna, Ozdener Tulin, Tapisiz Omer Lutfi, Batioğlu Sertac
Department of Reproductive Endocrinology and Endoscopic Surgery, Zekai Tahir Burak Women's Health Research and Education Hospital, Ankara, Turkey.
J Pediatr Adolesc Gynecol. 2011 Oct;24(5):300-3. doi: 10.1016/j.jpag.2011.05.006. Epub 2011 Jun 29.
To investigate the laparoscopic management of ovarian cysts in adolescents and young adults.
A retrospective chart review study.
Zekai Tahir Burak Women's Health Research and Education Hospital.
A total of 282 females aged 25 years or younger underwent laparoscopic surgery for a presumed benign ovarian cyst. Patients were grouped as adolescents (ages 12-19, n = 79) or young adults (ages 20-25, n = 203).
Surgical approach, operative findings and the correlation of intraoperative diagnosis with the definitive pathological reports.
The mean age of the patients was 21.2 years. At laparoscopic surgery, 89 patients (31.6%) had endometriomas, 47 (16.7%) had dermoid cysts, and 37 (13.1%) had paraovarian cysts. Ninety-seven patients (34.4%) had simple ovarian cysts. Pathological reports revealed that young adults were more likely to have endometriomas (34.0% vs 7.6%, P < 0.01), but dermoid cysts and simple ovarian cysts were more frequent (20.3% vs 15.3%, P < 0.01 and 60.7% vs 40.9%, P < 0.01, respectively).in adolescents. Eleven of the cases (3.9%) were found to have mucinous cystadenomas and fourteen (5.0%) to have serous cystadenomas. Four cysts were malignant (1.4%). Cystectomy was performed in 205 cases (72.7%), fenestration of cyst wall was performed in 53 cases (18.8%), and aspiration was applied in 22 cases (7.8%). The types of operation were not significantly different among adolescents and young adults (P > 0.05). The operative diagnosis was highly correlated with the final pathological reports (kappa value= 0.901, P < 0.001). There were no operative and postoperative complications in our series.
With a careful preoperative screening, the laparoscopic surgery of ovarian cyst is an efficient and safe treatment for adolescents and young adults.
探讨青少年及年轻女性卵巢囊肿的腹腔镜治疗方法。
一项回顾性病历审查研究。
泽凯·塔希尔·布拉克妇女健康研究与教育医院。
共有282名25岁及以下女性因疑似良性卵巢囊肿接受了腹腔镜手术。患者分为青少年组（12 - 19岁，n = 79）和年轻成人组（20 - 25岁，n = 203）。
手术方式、手术发现以及术中诊断与最终病理报告的相关性。
患者的平均年龄为21.2岁。在腹腔镜手术中，89例（31.6%）患有子宫内膜异位囊肿，47例（16.7%）患有皮样囊肿，37例（13.1%）患有卵巢冠囊肿。97例（34.4%）患有单纯性卵巢囊肿。病理报告显示，年轻成人更易患子宫内膜异位囊肿（34.0%对7.6%，P < 0.01），但皮样囊肿和单纯性卵巢囊肿在青少年中更常见（分别为20.3%对15.3%，P < 0.01；60.7%对40.9%，P < 0.01）。11例（3.9%）病例被发现患有黏液性囊腺瘤，14例（5.0%）患有浆液性囊腺瘤。4例囊肿为恶性（1.4%）。205例（72.7%）进行了囊肿切除术，53例（18.8%）进行了囊肿壁开窗术，22例（7.8%）进行了抽吸术。青少年和年轻成人的手术方式差异无统计学意义（P > 0.05）。术中诊断与最终病理报告高度相关（kappa值 = 0.901，P < 0.001）。本系列中无手术及术后并发症。
通过仔细的术前筛查，卵巢囊肿的腹腔镜手术对青少年及年轻女性是一种有效且安全 的治疗方法。
