Rizzo N, Gabrielli S, Perolo A, Pilu G, Cacciari A, Domini R, Bovicelli L
Second Department of Obstetrics and Gynaecology, Bologna University School of Medicine, Italy.
Prenat Diagn. 1989 Feb;9(2):97-103. doi: 10.1002/pd.1970090204.
Congenital ovarian cysts are a pathological condition which can be diagnosed in utero by ultrasound. We report 14 consecutive diagnoses of fetal ovarian cysts, obtained in the second and third trimesters of pregnancy. Congenital ovarian cysts have almost invariably a good prognosis, and no change in the standard obstetrical management is required. However, the evolution of the disease in utero is extremely variable. The cyst may increase in size, decrease or even disappear, or undergo complications such as torsion and rupture, which may carry some risks to the fetus. When a fetal ovarian cyst is detected, serial ultrasound examinations should be performed. If one of the above complications is suspected, the option of prompt caesarean section should be considered.
先天性卵巢囊肿是一种可通过超声在子宫内诊断的病理状况。我们报告了在妊娠中期和晚期连续确诊的14例胎儿卵巢囊肿。先天性卵巢囊肿几乎总是预后良好，无需改变标准的产科管理。然而，该疾病在子宫内的发展变化极大。囊肿可能会增大、缩小甚至消失，或者出现扭转和破裂等并发症，这可能会给胎儿带来一些风险。当检测到胎儿卵巢囊肿时，应进行系列超声检查。如果怀疑出现上述并发症之一，应考虑及时剖宫产。
