新生儿卵巢囊肿蒂扭转的诊治

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2 h～30 d,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2.5 cm × 3.0 cm× 2.0 cm,最大6.0 cm×9.0 cm×10.0 cm.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.

Torsion of ovarian cysts in neonates

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 cvsts 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 uhrasonography.Early involvement of pediatric surgeons is conducive to the proper management.