胎儿卵巢囊肿产前超声图像特点及预后评估

Prenatal ultrasound characteristics and prognosis of fetal ovarian cysts

目的探讨胎儿卵巢囊肿产前超声声像图特点及预后评估。方法对2015年1月至2019年12月北京市海淀区妇幼保健院产前超声诊断的19例胎儿卵巢囊肿检出时的胎龄、大小及回声变化特点进行回顾性分析,总结其预后。结果12例单纯型囊肿和4例复杂型囊肿大小变化符合缩小趋势。18例胎儿卵巢囊肿长径均在30~33周达到最大值。除1例复杂型胎儿卵巢囊肿发生蒂扭转出生后切除外,14例单纯型囊肿和4例复杂型囊肿产前或出生后1年内均自行消退。结论产前超声监测胎儿卵巢囊肿大小及回声改变是围产期预后的主要决定因素,可为指导产前管理和预测生后结局提供确切依据。

Objective To investigate the prenatal ultrasound characteristics and perform prognostic evaluation of fetal ovarian cysts.Methods The gestational age,size,and echo characteristics of 19 cases of fetal ovarian cysts diagnosed by prenatal ultrasound at Maternal and Child Health Hospital of Haidian District in Beijing from January 2015 to December 2019 were analyzed,and the prognosis was evaluated.Results The changes of size for 12 cases of simple cysts and 4 cases of complex cysts had a shrinking trend.The diameters of 18 cases of fetal ovarian cysts reached the maximum in 30~33 weeks.Except one case of complex fetal ovarian cyst with torsion of the pedicle that was excised after birth,14 cases of simple cyst and4 cases of complex cyst resolved spontaneously before or after birth in one year.Conclusion The size of fetal ovarian cysts and echo changes are the major determinants of perinatal outcome,and prenatal ultrasound monitoring of them can provide an accurate basis for guiding prenatal management and predicting the outcome after birth.