CAJ | 학술논문

目的：探讨年龄3个月以下婴儿卵巢囊肿的诊疗方法。方法2005年1月至2013年12月我们收治34例年龄3个月以下婴儿卵巢囊肿，回顾性分析其临床症状、住院时间、囊肿大小、包块性质、影像学检查特点、处理方式及术后病理检查结果。结果34例中，1例表现为黄染，1例为腹胀，32例表现为腹部肿块。住院时间7～23 d。囊肿＜5 cm 者5例，5～10 cm 者24例，＞10 cm 者5例。2例术后病理检查结果为卵巢黄素化卵泡颗粒细胞，而术前 B 超检查提示1例为囊实性，1例为囊性；5例术后病理检查结果为卵巢浆液性囊肿，而术前 B 超检查提示2例为混合性，3例为囊性；20例术后病理检查结果为单纯囊肿，术前超声检查提示均为囊性；2例超声提示为囊肿病例未行病理检查。34例中，5例予临床观察，未予手术治疗，13例采取腹腔镜手术治疗，16例采取小切口手术治疗。29例手术病例获治愈，且随访无一例复发。结论3月龄以下婴儿卵巢囊肿无明显急腹症体征。腹腔囊性包块＞5 cm 者应予手术治疗，＜5 cm 不能排除来源于卵巢其他部位者应予探查性手术治疗。
목적：탐토년령3개월이하영인란소낭종적진료방법。방법2005년1월지2013년12월아문수치34례년령3개월이하영인란소낭종，회고성분석기림상증상、주원시간、낭종대소、포괴성질、영상학검사특점、처리방식급술후병리검사결과。결과34례중，1례표현위황염，1례위복창，32례표현위복부종괴。주원시간7～23 d。낭종＜5 cm 자5례，5～10 cm 자24례，＞10 cm 자5례。2례술후병리검사결과위란소황소화란포과립세포，이술전 B 초검사제시1례위낭실성，1례위낭성；5례술후병리검사결과위란소장액성낭종，이술전 B 초검사제시2례위혼합성，3례위낭성；20례술후병리검사결과위단순낭종，술전초성검사제시균위낭성；2례초성제시위낭종병례미행병리검사。34례중，5례여림상관찰，미여수술치료，13례채취복강경수술치료，16례채취소절구수술치료。29례수술병례획치유，차수방무일례복발。결론3월령이하영인란소낭종무명현급복증체정。복강낭성포괴＞5 cm 자응여수술치료，＜5 cm 불능배제래원우란소기타부위자응여탐사성수술치료。
Objetive To analyze the diagnostic methods and treatment principles of newborn (age <3 months)with ovarian cyst. Methods From January 2005 to December 201 3 34 newborn who aged lower than 3 months with ovarian cysts were included,Retrospectively analysised their clinical symptoms,inhospital time,cyst size and nature,imaging diagnosis characteristics,treatment and postoperative results.Results 1 case showed skin yellowing,1 case showed abdominal distension,32 cases were found abdominal masses.In-hospital time were from 7 to 23 days.5 cases had ovarian cyst size <5 cm.24 cases had ovarian cyst between 5 ~1 0 cm.5 cases showed ovarian cyst >1 0 cm.2 cases were human luteinizing granulosa cells after opera-tion.While preoperative ultrasound imaging showed 1 case had solid cyst,1 case was cystic.5 cases were di-agnosed ovarian serous cyst through disease screening.Preoperative imaging showed 2 cases were mixed,3 ca-ses were cystic.20 cases were simple cyst,while preoperative imaging were all cystic.Images showed the cyst in 2 cases,but without pathological examinations.5 newborns with small tumor suggested clinical observation. 1 3 cases treated with laparoscopic surgery.1 6 patients used small incision surgeries.5 in 34 cases did not got operation.All 29 cases were got operation and cured without relapse. Conclusions Newborn (age <3 months)ovarian cysts were all found abdominal mass,no obvious signs of acute abdominal pain.When abdom-inal cystic mass size >5 cm,it should undergone surgery treatment.When <5 cm can't rule out other parts o-varian cystic masses and should carry on the exploration surgical treatment.