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目的通过分析女性胎儿卵巢囊肿的声像图特点及临床转归,探讨产前超声的诊断价值及临床意义。方法收集胎儿卵巢囊肿的病例92例,分析声像图特征、出生后变化、干预结果等资料,总结预后与转归。结果 92例病例中失访5例,最终87例纳入本研究。其中74例(85.1%)自行消退,13例(14.9%)患儿出生后手术治疗。病理结果为卵巢单纯型囊肿5例(38.5%),一侧卵巢囊肿蒂扭转3例(23.1%),良性畸胎瘤5例(38.5%)。结论胎儿期卵巢囊肿可通过超声检出,多数可自行消退,预后良好;若囊肿>50mm,建议进行产前穿刺吸引或出生后手术治疗。
Objective To investigate the diagnostic value and clinical significance of prenatal ultrasound by analyzing the characteristics and clinical outcome of the fetal ovarian cyst. Methods Totally 92 cases of fetal ovarian cysts were collected. The characteristics of sonography, postnatal changes and the results of intervention were analyzed, and prognosis and prognosis were summarized. Results Of 92 cases, 5 cases were lost and 87 cases were finally included in this study. Of these, 74 (85.1%) resolved spontaneously and 13 (14.9%) received surgery after birth. Pathological findings were ovarian simple cyst in 5 cases (38.5%), ovarian cyst on one side in 3 cases (23.1%), benign teratoma in 5 cases (38.5%). Conclusion Fetal ovarian cysts can be detected by ultrasound, most of them can subside on their own, the prognosis is good; if cysts> 50mm, it is recommended to prenatal puncture or postoperative surgical treatment.