Lindeque B G, du Toit J P, Muller L M, Deale C J
Department of Obstetrics and Gynecology, Faculty of Medicine, University of Stellenbosch, Tygerberg Hospital Parowvallei, South Africa.
J Reprod Med. 1988 Feb;33(2):196-8.
Routine antenatal ultrasonography at regular intervals will detect fetal ovarian cysts. Before the era of ultrasound, the attending physician was unaware of the presence of these cysts. It is therefore imperative that a protocol for the management of asymptomatic, antenatally diagnosed ovarian cysts be developed. The vast majority of these cysts are benign and functional; laparotomy during the neonatal period is not only unnecessary but may be harmful. In a prospective study undertaken at Tygerberg Hospital, Parowvallei, South Africa, six ultrasound criteria were drawn up for the safe, conservative management of these neonates. Adherence to these criteria enabled us to manage five of seven neonates conservatively. Laparotomy in one neonate showed a benign functional ovarian cyst. Retrospectively, this case should have been managed conservatively. In the remaining neonate a laparotomy for an acute abdomen demonstrated torsion of an ovarian cyst, emphasizing the necessity for adequate follow-up.
定期进行常规产前超声检查可检测出胎儿卵巢囊肿。在超声时代之前，主治医生并未意识到这些囊肿的存在。因此，制定一项针对产前诊断出的无症状卵巢囊肿的管理方案势在必行。这些囊肿绝大多数是良性且功能性的；新生儿期进行剖腹手术不仅没有必要，而且可能有害。在南非帕罗瓦莱泰格贝格医院进行的一项前瞻性研究中，为这些新生儿的安全、保守管理制定了六项超声标准。遵循这些标准使我们能够对七名新生儿中的五名进行保守治疗。一名新生儿的剖腹手术显示为良性功能性卵巢囊肿。回顾来看，该病例本应进行保守治疗。在其余一名新生儿中，因急腹症进行的剖腹手术显示卵巢囊肿扭转，这凸显了充分随访的必要性。
