中华小儿外科杂志
中華小兒外科雜誌
중화소인외과잡지
Chinese Journal of Pediatric Surgery
2015年
8期
618-621
,共4页
胎儿%卵巢囊肿%超声检查,产前
胎兒%卵巢囊腫%超聲檢查,產前
태인%란소낭종%초성검사,산전
Fetus%Ovarian Cysts%Ultrasonography,prenatal
目的 了解胎儿卵巢囊肿发病特点、转归及超声评估的准确性,为产前诊断及生后随访治疗提供依据.方法 对2008年1月至2013年9月产前超声检查疑似胎儿卵巢囊肿的病例进行产前评估,记录诊断孕龄、囊肿大小、部位、性质,有无合并其他畸形等,并跟踪随访患者的转归.结果 共发现99例,其中单侧96例,复杂性和直径＞5 cm单纯性囊肿57例(57.5％);获诊孕龄平均28(19～39)周;失访32例;选择引产9例;剩余58例中,囊肿自然消退34例(58.6％),其中产前消退6例(10.3％),26例(44.8％)在出生后至1岁期间消退;手术13例(22.4％);11例(18.9％)囊肿未增大及变化,仍定期随访观察.产前超声诊断准确率为91％(53/58).结论 胎儿卵巢囊肿主要发生在孕晚期28周后,其中大部分会在临近产时或生后1周岁内自然消退,但产前诊断仅凭超声检查尚无法达到接近100％的准确率,对于大于5 cm或复杂性囊肿,有必要对这类病例生后48 h内进行严格的再评估和修正诊断,从而制定相应的治疗方案,以避免出现囊肿扭转丢失器官、误诊其他疾病.
目的 瞭解胎兒卵巢囊腫髮病特點、轉歸及超聲評估的準確性,為產前診斷及生後隨訪治療提供依據.方法 對2008年1月至2013年9月產前超聲檢查疑似胎兒卵巢囊腫的病例進行產前評估,記錄診斷孕齡、囊腫大小、部位、性質,有無閤併其他畸形等,併跟蹤隨訪患者的轉歸.結果 共髮現99例,其中單側96例,複雜性和直徑＞5 cm單純性囊腫57例(57.5％);穫診孕齡平均28(19～39)週;失訪32例;選擇引產9例;剩餘58例中,囊腫自然消退34例(58.6％),其中產前消退6例(10.3％),26例(44.8％)在齣生後至1歲期間消退;手術13例(22.4％);11例(18.9％)囊腫未增大及變化,仍定期隨訪觀察.產前超聲診斷準確率為91％(53/58).結論 胎兒卵巢囊腫主要髮生在孕晚期28週後,其中大部分會在臨近產時或生後1週歲內自然消退,但產前診斷僅憑超聲檢查尚無法達到接近100％的準確率,對于大于5 cm或複雜性囊腫,有必要對這類病例生後48 h內進行嚴格的再評估和脩正診斷,從而製定相應的治療方案,以避免齣現囊腫扭轉丟失器官、誤診其他疾病.
목적 료해태인란소낭종발병특점、전귀급초성평고적준학성,위산전진단급생후수방치료제공의거.방법 대2008년1월지2013년9월산전초성검사의사태인란소낭종적병례진행산전평고,기록진단잉령、낭종대소、부위、성질,유무합병기타기형등,병근종수방환자적전귀.결과 공발현99례,기중단측96례,복잡성화직경＞5 cm단순성낭종57례(57.5％);획진잉령평균28(19～39)주;실방32례;선택인산9례;잉여58례중,낭종자연소퇴34례(58.6％),기중산전소퇴6례(10.3％),26례(44.8％)재출생후지1세기간소퇴;수술13례(22.4％);11례(18.9％)낭종미증대급변화,잉정기수방관찰.산전초성진단준학솔위91％(53/58).결론 태인란소낭종주요발생재잉만기28주후,기중대부분회재림근산시혹생후1주세내자연소퇴,단산전진단부빙초성검사상무법체도접근100％적준학솔,대우대우5 cm혹복잡성낭종,유필요대저류병례생후48 h내진행엄격적재평고화수정진단,종이제정상응적치료방안,이피면출현낭종뉴전주실기관、오진기타질병.
Objective To explore the natural development of fetal ovarian cyst and assess the accuracy of ultrasonography in diagnosing fetal ovarian cyst and providing rationales for prenatal evaluation and postnatal tracing of fetal ovarian cyst.Methods From January 2008 to September 2013,pre-and post-natal medical records of ultrasonically suspicious fetuses with ovarian cysts were reviewed retrospectively.And the clinical data included gestation age,mass size,location,mass features and combined malformations,etc.Results Among 99 cases,96 were unilateral and 57 cysts were over 5 crn or complicated.Their average gestational age was 28(19-39) weeks.And 32 cases were lost to follow-ups and 9 opted for termination.For the remaining 58 case,34 cases (58.6％) presented spontaneous regression.Prenatally,6 cases (10.3％) had spontaneous regression.And 28 cases (28.2％) regressed spontaneously after birth and before 1 year.Postnatal operations were performed for 13(22.4％) cysts.And 11 (18.9％) cysts showed no obvious enlargement and were followed up to date.The prenatal accuracy rate of ultrasonic diagnosis was 91％ (53/58).Conclusions Most fetal ovarian cysts found sonographically in the third trimester tend to regress spontaneously during the first year.For cysts over 5 crn or complicated,it is necessary to reevaluate just after birth and establish a correct diagnosis.Thus organ loss due to cyst torsion or misdiagnosing may be avoided.
