摘要
目的通过总结本院收治的8例新生儿卵巢囊肿蒂扭转的临床资料，探讨新生儿卵巢囊肿蒂扭转的诊治经验。方法回顾性分析2001年1月-2006年6月治疗的8例新生儿卵巢囊肿，年龄为出生后2h～30d，出生前经B超诊断胎儿腹部囊性病变7例；因出生后发现外阴分泌物增多就诊，B超检查有腹腔内囊性占位1例。结果开腹手术6例，腹腔镜手术2例。8例卵巢囊肿蒂扭转360°～1800°，顺时针扭转5例，逆时针扭转3例。囊肿最小2．5cm×3．0cm×2．0cm，最大6．0cm×9．0cm×10．0cm。术后病理结果显示囊性畸胎瘤1例，卵泡囊肿4例，血肿及纤维囊壁组织伴灶性钙化3例。结论新生儿卵巢囊肿蒂扭转罕见，但是通过对具有高危因素的胎儿进行产前B超可早期发现。根据患儿具体情况采取合适的手术方式，对可疑病例可行腹腔镜检查。
Objective To review our management experience of ovarian cysts torsion in neonates. Methods Eight female neonates （aged ranged from 2 hours to 30 days） with ovarian cyst torsion were treated between January of 2001 and June of 2006 in this institution. Seven patients （87. 5%） were diagnosed as abdominal cysts by antenatal ultrasonography. The diagnoses included torsion of ovarian cysts （n = 3）, abdominal cystic teratoma （n = 3）, mesenteric cyst （n = 1）. Results Open operations were carried out in 6 cases, and laparoscopic operations in 2 cases. The eight ovarian cysts rotated 360° to 1800° Clockwise rotations were found in 5 cases and counter-clockwise rotations in 3. The size ranged from 2. 5 cm× 3.0 cm× 2. 0 cm to 6. 0 cm× 9. 0 cm× 10. 0 cm. The pathological diagnosis included cystic teratoma （n = 1）, follicular cysts （n = 4）, hematoma and fibrous cystic wall with calcified focus （n = 3）. Conclusions Torsion of ovarian cyst was infrequent in neonates, but diagnosis can be established by antenatal ultrasonography. Early involvement of pediatric surgeons is conducive to the proper management.
出处
《中华小儿外科杂志》
CSCD
北大核心
2008年第2期65-66,共2页
Chinese Journal of Pediatric Surgery
