Karakuş Osman Z, Ateş Oğuz, Hakgüder Gülce, Olguner Mustafa, Akgür Feza M
Department of Pediatric Surgery, Dokuz Eylul University, Medical School, Izmir, Turkey.
Eur J Pediatr Surg. 2014 Aug;24(4):337-40. doi: 10.1055/s-0033-1348023. Epub 2013 Jun 4.
Fetal ovarian cysts' size and nature are considered as the most important factors for determining the treatment modality. When to perform an intervention and to which fetal ovarian cysts has not been clarified yet. We herein present our experience with fetal ovarian cysts. Materials and
The hospital records of 38 ovarian cysts (27 simple and 11 complex) were evaluated retrospectively. The prenatal and postnatal outcomes of the cysts were investigated.
Prenatally at the 37 fetuses, 38 fetal ovarian cysts were evaluated retrospectively. There were 27 simple and 11 complex fetal ovarian cysts followed by prenatally and postnatally. None of the simple fetal ovarian cysts underwent in utero torsion. Postnatally, 23 simple ovarian cysts were regressed within 3 months. Four patients with simple ovarian cysts larger than 4 cm were operated. During follow-up period, seven complex ovarian cysts regressed, one complex ovarian cyst complicated with intestinal obstruction underwent surgery, and three complex ovarian cysts did not regress and they were operated. Three out of seven complex ovarian cysts that were initially regressed presented with intestinal obstruction and oophorectomy plus adhesiolysis were performed. Surgical treatment was required in 7 out of 11 (64%) complex ovarian cysts.
Complex ovarian cysts lead to problems even after regression in the postnatal period and require operative intervention sooner or later.
胎儿卵巢囊肿的大小和性质被认为是决定治疗方式的最重要因素。何时进行干预以及针对哪些胎儿卵巢囊肿进行干预尚未明确。我们在此介绍我们处理胎儿卵巢囊肿的经验。材料与方法：回顾性评估38例卵巢囊肿（27例单纯性和11例复杂性）的医院记录。调查囊肿的产前和产后结局。结果：产前对37例胎儿的38个胎儿卵巢囊肿进行回顾性评估。有27个单纯性和11个复杂性胎儿卵巢囊肿在产前和产后进行了随访。单纯性胎儿卵巢囊肿均未发生宫内扭转。产后，23个单纯性卵巢囊肿在3个月内消退。4例单纯性卵巢囊肿大于4 cm的患者接受了手术。在随访期间，7个复杂性卵巢囊肿消退，1个复杂性卵巢囊肿合并肠梗阻接受了手术，3个复杂性卵巢囊肿未消退并接受了手术。最初消退的7个复杂性卵巢囊肿中有3个出现肠梗阻，进行了卵巢切除术加粘连松解术。11个复杂性卵巢囊肿中有7个（64%）需要手术治疗。结论：复杂性卵巢囊肿即使在产后消退后仍会导致问题，迟早需要手术干预。
