摘要
目的分析儿童卵巢囊肿的疾病特征和治疗方案。方法采集和分析2001年1月至2010年12月间，以卵巢囊肿为首要诊断的，并在复旦大学附属儿科医院外科治疗的107例14岁以下患儿的医疗记录。结果卵巢囊肿107例，其中左侧34例，右侧67例，双侧6例。新生儿（≤28d）22例，婴幼）L（29d至3岁）8例，学龄期（448岁）24例，青春前期（9～12岁）28例，青春期（13～14岁）25例。肿瘤发病具有与年龄相关的特征。仅1例发现影像学上垂体的轻度异常。63．8％的患儿E2激素水平高于其所在的年龄段水平。73例手术，34例保守治疗，13例术后诊断为卵巢的真性肿瘤（囊性畸胎瘤、粘液性囊腺瘤和浆液性囊腺瘤）。手术保留卵巢52例（71．2％），腹腔镜手术36例，开腹手术37例。术后复发3例，均为卵巢真性肿瘤患儿。未手术患儿34例，66％由于肿块在短期随访中缩小，20％由于肿块体积小（直径1cm）不处理，余14％为家属主观原因和发现内分泌显著异常未加干预。结论卵巢囊肿发生率高，在各个年龄阶段均可发生，症状各异。需要与卵巢真性肿瘤鉴别。治疗多提倡保守治疗，肿块增大或扭转是干预的指征。腹腔镜手术微创、可行，建议尽可能的保留卵巢组织，剜除囊肿。功能性的卵巢囊肿复发少见。
Objective To analyze the clinical features and treatment of ovarian cysts in children. Methods The medical records of 107 children younger than 14 years old with a diagnosis of ovarian cysts were reviewed. Results 34 cases were on the left side, 67 on the right and 6 on both sides. There were 22 cases found in neonates, 8 cases in infants, 24 cases at school age, 28 cases in prepu-berty, and 25 cases at puberty. The symptoms were related to age. Only 1 case had mild abnormality in the pituitary gland, and 63.8% of patients had elevated serum E2 with age. 73 cases accepted sur-gical intervention, 13 of them were revealed as true ovarian tumor. 71.2% of patients who received surgery had their ovaries preserved （36 cases were done by laparoscopy, and 37 were done by laparot-omy）. 3 tumor cases recurred. 34 cases were treated conservatively, 86% of them were discharged during short follow up. Conclusions Ovarian cysts can occur in any age with high incidence, with dif-ferent symptoms. It is essential to differentiate from ovarian tumor. We suggest conservative treat-ment for ovarian cyst, and surgery is reserved for those with increase in size or twisted. Laparoscopy is a minimal invasive procedure, enucleation and preservation of ovary tissue is a rule for intervention. Relapse of functional cyst is rare.
出处
《中华小儿外科杂志》
CSCD
北大核心
2012年第11期835-837,共3页
Chinese Journal of Pediatric Surgery
关键词
卵巢
囊肿
儿童
外科手术
微创性
Ovary
Cyst
Child
Surgical procedures,minimally invasive
