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[女新生儿卵巢假性囊肿:产前超声诊断及手术后果]

[Ovarian pseudocysts in female newborn infants: prenatal ultrasonic diagnosis and surgical consequences].

作者信息

Zachariou Z, Roth H, Daum R, Schmidt W, Hofmann W, Hauf-Zachariou U

出版信息

Z Kinderchir. 1987 Apr;42(2):126-30. doi: 10.1055/s-2008-1075568.

Abstract

During the last year we diagnosed within the scope of preventive medical care of pregnant women in about the 30th pregnancy week, seven foetuses with abdominal cystic tumours by ultrasound examination. Postpartal ultrasound controls of the mature newborn confirmed the findings. After laparotomy we found ovarian pseudocysts with a volume up to 90 ccm. Histologically we could not identify ovarian tissue. In 66% of the cases we found small cysts on the contralateral ovary. Differential diagnosis and the possible complications must be considered. A laparotomy should be performed and only by high steroid serum level a conservative therapy with MPA should be considered. This is the case in premature newborn with an immature endocrine regulation mechanism.

摘要

在过去一年中,我们在对怀孕约30周的孕妇进行预防性医疗护理时,通过超声检查诊断出7例胎儿患有腹部囊性肿瘤。对足月新生儿产后进行的超声检查证实了这些发现。剖腹手术后,我们发现了体积达90立方厘米的卵巢假性囊肿。组织学检查未发现卵巢组织。66%的病例中,对侧卵巢有小囊肿。必须考虑鉴别诊断和可能的并发症。应进行剖腹手术,只有在类固醇血清水平高时,才应考虑用甲羟孕酮进行保守治疗。早产新生儿内分泌调节机制不成熟时就是这种情况。

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