26例新生儿卵巢囊肿临床特点分析

Clinical characteristics of 26 neonatal ovarian cysts

目的分析新生儿卵巢囊肿临床资料,为新生儿卵巢囊肿诊治提供基础数据。方法选择2015年1月至2021年7月期间在西北妇女儿童医院新生儿科诊治的26例新生儿卵巢囊肿患儿为研究对象,分析比较患儿及母亲孕期一般临床资料、影像学资料、治疗及转归等。结果26例新生儿卵巢囊肿患儿中,早产儿2例,平均出生体重(3384±453)g,产前诊断胎龄(34.0±2.9)周,出生胎龄(39.0±1.5)周,均于产前B超检查发现腹部囊性包块;26例新生儿卵巢囊肿患儿中,囊肿直径>4cm的22例患儿行手术干预治疗,直径<4cm的4例单纯型囊肿患儿保守治疗;术中发现囊肿位于右侧10例、左侧12例,卵巢囊肿伴囊内出血1例,卵巢囊肿蒂扭转伴卵巢液化坏死1例;接受手术治疗的患儿均无术中及术后并发症发生,其中20例行单纯囊肿壁切除,2例患儿行卵巢切除(1例合并蒂扭转并伴有卵巢液化坏死,1例卵巢全部囊性化);术后病理诊断均确诊为卵巢囊肿;术后随访,所有患儿生长发育良好。结论对于直径>4cm的单纯型囊肿,建议手术干预治疗,治疗原则以囊肿部分切除为宜。

Objective To investigate the clinical data of neonatal ovarian cysts and provide basic data for the diagnosis and treatment of neonatal ovarian cysts Methods A total of 26 newborns with neonatal ovarian cyst treated in the Neonatology Department of Northwest Women and Children′s Hospital from January 2015 to July 2021 were selected as the subjects.The general clinical data,imaging data,treatment and outcome of newborn and pregnancy were analyzed and compared.Results Among the 26 newborns with ovarian cysts,2 were premature infants.The average birth weight was(3384±453)g,prenatal diagnosis gestational age was(34.0±2.9)weeks,gestational age at birth was(39.0±1.5)weeks.The abdominal cystic mass was found before delivery by ultrasound examination in all 26 cases.Among 26 cases of neonatal ovarian cyst,22 cases with cyst diameter>4 cm received surgical intervention,and 4 simple cyst with diameter<4 cm received conservative treatment.During the operation,ovarian cysts were found in 10 cases on the right side,12 on the left side,ovarian cyst with intracapsular hemorrhage was found in 1 case,and ovarian cyst pedicle torsion with ovarian liquefaction necrosis was found in 1 case.There were no intraoperative or postoperative complications in 22 cases who received surgical treatment.Among them,20 cases underwent simple cysts wall resection,and 2 cases underwent ovariectomy(1 case with pedicle torsion and ovarian liquefaction necrosis,1 case with all ovaries cystic).The postoperative pathological diagnosis of them was confirmed to be ovarian cyst,all the children grew well during the follow-up after the operation.Conclusion For simple cysts with a diameter>4 cm,surgical intervention is recommended,and partial cysts resection is the priority treatment principle.