Widdowson D J, Pilling D W, Cook R C
Department of Radiology, Royal Liverpool Children's Hospital.
Arch Dis Child. 1988 Jul;63(7 Spec No):737-42. doi: 10.1136/adc.63.7_spec_no.737.
Seven cases of neonatal ovarian cysts that presented over the past seven years were studied. Complications included torsion and rupture and usually occurred in cysts more than 5 cm in diameter. Surgical removal, either oophorectomy or cystectomy, was the treatment of choice. Because even cystectomy results in loss of normal ovarian tissue, and because spontaneous regression of cysts less than 5 cm in diameter can occur, a more conservative approach is now proposed. Regular ultrasonography alone is recommended if the cysts are less than 5 cm in diameter, and aspiration of the cysts followed by regular ultrasonographs if the cysts are more than 5 cm in diameter. Operation should be reserved for recurrent cysts or for those with complications. Cysts diagnosed antenatally may be aspirated in utero if there are signs of thoracic compression.
对过去七年中出现的七例新生儿卵巢囊肿病例进行了研究。并发症包括扭转和破裂，通常发生在直径超过5厘米的囊肿中。手术切除，即卵巢切除术或囊肿切除术，是首选的治疗方法。由于即使囊肿切除术也会导致正常卵巢组织的丧失，并且由于直径小于5厘米的囊肿可能会自发消退，因此现在提出了一种更保守的方法。如果囊肿直径小于5厘米，建议仅定期进行超声检查；如果囊肿直径大于5厘米，则在囊肿抽吸后定期进行超声检查。手术应保留用于复发性囊肿或有并发症的囊肿。如果产前诊断出的囊肿有胸腔受压的迹象，可在子宫内进行抽吸。
