| 张庄,史丽琼,周莉,郭成文,李蔚,郭吴丹,高峻.新生儿及婴幼儿卵巢囊肿超声表现[J].中国医学影像技术,2024,40(12):1876~1879 |
| 新生儿及婴幼儿卵巢囊肿超声表现 |
| Ultrasonic manifestations of ovarian cysts in neonates and infants |
| 投稿时间：2024-06-25 修订日期：2024-09-04 |
| DOI：10.13929/j.issn.1003-3289.2024.12.015 |
| 中文关键词: 卵巢囊肿 婴儿,新生儿 超声检查 |
| 英文关键词:ovarian cysts infant, newborn ultrasonography |
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| 中文摘要: |
| 目的 观察新生儿及婴幼儿卵巢囊肿超声表现。方法 回顾性分析40例罹患较大或复杂性卵巢囊肿的新生儿及婴幼儿,分析其超声表现及手术或随访资料。结果 40例中,20例超声表现为薄壁、无回声的单房囊肿,其中9例伴"子囊征",以之为单纯性卵巢囊肿组;19例为厚壁囊肿,囊液内见点状、絮状或不均质实性成分光团,其中11例伴"双壁征"、8例见固-液分层、1例伴"子囊征",将其归为复杂性卵巢囊肿组;1例为萎缩实变囊肿。单纯性囊肿组囊肿长径、前后径及短径均大于复杂性囊肿组(P均＜0.05)。超声正确诊断14例卵巢囊肿(14/40,35.00%)。18例复杂性卵巢囊肿术中见卵巢囊肿出血合并扭转坏死。38例经手术病理证实;2例经随访明确诊断,其中1例单纯性卵巢囊肿自行消退、1例复杂性卵巢囊肿随访期间脱落并游移至肝右下缘。结论 新生儿及婴幼儿卵巢囊肿可大致分为单纯性、复杂性及萎缩实变囊肿,其超声表现各有一定特点并有助于诊断。 |
| 英文摘要: |
| Objective To observe ultrasonic manifestations of ovarian cysts in neonates and infants. Methods Totally 40 neonates or infants with large or complicated ovarian cysts were retrospectively enrolled, and ultrasonic manifestations, surgical operation findings or follow-up data were analyzed. Results Among 40 cases, thin wall and echoless unicellular cysts were found in 20 cases, among which 9 were accompanied by "ascus", and these cases were classified into simple cyst group. Thick wall cysts with spot-like, flocculent or heterogeneous solid components were observed in 19 cases, including 11 cases with "double wall sign", 8 with solid-liquid stratification and 1 case with "ascus", and these cases were taken as complex cyst group. Atrophic solid cyst was found in 1 case. The long diameter, anteroposterior diameter and short diameter of simple cyst group were all larger than those of complex cyst group (all P＜0.05). Ultrasound correctly diagnosed ovarian origin tumors in 14 cases (14/40, 35.00%). Hemorrhage combined with torsion necrosis was detected in 18 cases of complicated ovarian cysts in surgical operation. Thirty-eight cases were confirmed by surgical pathology, while 2 cases were confirmed by follow-up, including 1 case of simple ovarian cyst spontaneously subsided and 1 case of complicated ovarian cyst fell off and migrated to right lower liver margin. Conclusion Ovarian cysts in neonates and infants could be roughly divided into simple and complex and atrophic solid ovarian cysts, with ultrasonic manifestations having certain characteristics, which were helpful for diagnosis. |
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