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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.

DOI:10.1055/s-2008-1075568
PMID:3296519
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。

相似文献

1
[Ovarian pseudocysts in female newborn infants: prenatal ultrasonic diagnosis and surgical consequences].[女新生儿卵巢假性囊肿:产前超声诊断及手术后果]
Z Kinderchir. 1987 Apr;42(2):126-30. doi: 10.1055/s-2008-1075568.
2
[Prenatal ultrasonographic diagnosis of ovarian cysts and their frequency in newborn infants].
Z Kinderchir. 1984 Oct;39(5):344-6. doi: 10.1055/s-2008-1044242.
3
[Prenatal diagnosis of ovarian cysts].[卵巢囊肿的产前诊断]
Chir Pediatr. 1986;27(3):128-33.
4
[Neonatal ovarian cysts. Apropos of 4 cases].[新生儿卵巢囊肿。附4例报告]
J Gynecol Obstet Biol Reprod (Paris). 1984;13(6):663-9.
5
[Prenatal ultrasonographic diagnosis of a cystic ovarian tumor].[卵巢囊性肿瘤的产前超声诊断]
Geburtshilfe Frauenheilkd. 1984 Aug;44(8):521-4. doi: 10.1055/s-2008-1036711.
6
[Neonatal ovarian cysts. The role of ultrasonic diagnosis].[新生儿卵巢囊肿。超声诊断的作用]
J Radiol. 1988 Jan;69(1):67-70.
7
[Fetal ovarian cysts].
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8
Ultrasonographic criteria for the conservative management of antenatally diagnosed fetal ovarian cysts.产前诊断胎儿卵巢囊肿保守治疗的超声检查标准。
J Reprod Med. 1988 Feb;33(2):196-8.
9
[Systematic non-surgical treatment of ovarian cysts in newborn infants. Apropos of 8 cases].
Chir Pediatr. 1989;30(1):30-6.
10
[Ovarian cyst in newborn infants: what attitude should we adopt? (apropos of 8 cases)].
Pediatrie. 1987;42(7):557-61.