3月龄以下小婴儿卵巢囊肿的诊治经验

1.西安市儿童医院新生儿外科(陕西省西安市,710003); 2.陕西省西安交通大学(陕西省西安市,710003)

卵巢囊肿; 新生儿; 胎儿; 腹腔镜技术; 治疗结果

Diagnosis and treatment of ovarian cysts in infants aged under 3 months.
Lu chaoxiang,

Department of Neonatal Surgery,Municipal Children Hospital,Xi'an 710003,China,Corresponding author: Li Peng,E-mail: 1353379997@qq.com.

Ovarian Cysts; Newborns; Fetus; Laparoscopy; Treatment

DOI: 10.3969/j.issn.1671-6353.2017.03.0.13

备注

目的 探讨3月龄以下小婴儿卵巢囊肿的诊治经验及方法。 方法 回顾性分析2010年7月至2016年1月经本院治疗的22例产前诊断的卵巢囊肿病例,诊断年龄为产前28~40周,观察发现侧别、胎龄、手术日龄及囊肿大小与患儿卵巢是否缺失情况,总结诊治过程中的经验和体会。 结果 22例产前诊断的卵巢囊肿分别于生后4 ~ 80 d经腹腔镜辅助下行卵巢囊肿切除或剔除手术,其中12例(占54.5%)因卵巢发育不良或扭转而切除。卵巢缺损组患儿囊肿直径大于卵巢正常组患儿,分别为(9.75±4.20)cm、(6.60±1.78)cm,差异有统计学意义(P<0.05)。 结论 卵巢囊肿引起患儿卵巢萎缩及扭转坏死的几率较大,囊肿过大易造成卵巢缺损或发育不良。腹腔镜手术可以有效治疗该病,发现囊肿逐渐增大时应及时手术。
Objective To explore the diagnosis and treatment of ovarian cysts in infants aged under 3 months. Methods Retrospective analysis was performed for 22 infants hospitalized from July 2010 to January 2016.They were prenatally diagnosed as ovarian cysts from 28 to 40 weeks of gestation. Sideness,gestational age,surgical age,ovarian cyst size and ovarian loss were reviewed. Results Twenty-two cases were cured by laparoscopic-assisted surgery.And 12 children(54.5%)had ovarian dysplasia or twisting removal. Conclusion s Ovarian cysts are quite likely to cause ovarian atrophy and necrosis.And size is a important factor for ovarian loss. Laparoscopic surgery is both safe and effective.Cyst should be treated timely if it expands in size.