Durairaj Anitha, Gandhiraman Kavitha
Department of Obstetrics and Gynaecology, Velammal Medical College Hospital and Research Institute, Madurai, Tamil Nadu 625014 India.
J Obstet Gynaecol India. 2019 Apr;69(2):180-184. doi: 10.1007/s13224-018-1152-2. Epub 2018 Jul 10.
Despite their relative frequency, paraovarian cyst received only scant attention. Clinician should be aware of the complications of paraovarian cyst.
To analyse the clinical profile, complications and management of paraovarian cyst.
Retrospective analysis of 51 patients with operative diagnosis of paraovarian cyst was carried out at our institution over a 5-year period.
Majority (60.78%) of paraovarian cysts were found in the third and fourth decades, and the mean age of the patients was 31.8 years. 62.74% patients with paraovarian cyst presented with abdominal pain, and the rest were an incidental finding. Ultrasound made a correct diagnosis in 47.05% of patients. Mean size of paraovarian cyst was 7.51 cm. Complications of paraovarian cyst noted in our study are cyst enlargement (79.62%), adnexal torsion (18.51%), haemorrhage (7.4%), rupture (1.85%) and benign tumour (12.96%). 84.31% paraovarian cysts were managed by laparoscopy. Fertility-sparing surgery was done in 57.39% of paraovarian cysts.
Paraovarian cyst should be considered in the differential diagnosis of adnexal mass. The importance of differentiating it from ovarian cyst cannot be overemphasized. Laparoscopic approach and preferably a fertility-sparing surgery should be considered in the management of complications of paraovarian cyst.
尽管副卵巢囊肿相对常见，但受到的关注却很少。临床医生应了解副卵巢囊肿的并发症。
分析副卵巢囊肿的临床特征、并发症及治疗方法。
对我院5年内手术诊断为副卵巢囊肿的51例患者进行回顾性分析。
大多数（60.78%）副卵巢囊肿在第三和第四十年被发现，患者的平均年龄为31.8岁。62.74%的副卵巢囊肿患者表现为腹痛，其余为偶然发现。超声在47.05%的患者中做出了正确诊断。副卵巢囊肿的平均大小为7.51厘米。在我们的研究中发现的副卵巢囊肿并发症有囊肿增大（79.62%）、附件扭转（18.51%）、出血（7.4%）、破裂（1.85%）和良性肿瘤（12.96%）。84.31%的副卵巢囊肿通过腹腔镜手术治疗。57.39%的副卵巢囊肿进行了保留生育功能的手术。
在附件包块的鉴别诊断中应考虑副卵巢囊肿。将其与卵巢囊肿区分开来的重要性再怎么强调也不为过。在副卵巢囊肿并发症的治疗中应考虑腹腔镜手术方法，最好是保留生育功能的手术。
