Ultrasonographic features associated with previous torsion and the impact of surgery in managing neonatal ovarian cysts: a 20-year single-centre retrospective study.
Ultrasonographic features associated with previous torsion and the impact of surgery in managing neonatal ovarian cysts: a 20-year single-centre retrospective study.
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DOI：
10.1007/s00383-023-05458-2
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发表时间：
2023-04-24
影响因子：
1.8
通讯作者：
De Coppi, Paolo
中科院分区：
文献类型：
--
作者：
Tyraskis, Athanasios;Davidson, Joseph;Billington, Jennifer;Blackburn, Simon;Curry, Joseph;Mullassery, Dhanya;Giuliani, Stefano;Eaton, Simon;Cross, Kate;De Coppi, Paolo
识别既往卵巢扭转的标志物，并根据超声表现和手术治疗概述结果。对 2000 年 1 月至 2020 年 1 月新生儿卵巢囊肿进行回顾性单中心审查。有关出生后囊肿大小、超声特征和手术治疗的数据与卵巢丢失和组织学结果相关。女性77例，单纯性囊肿22例，复杂性囊肿56例，双侧囊肿1例。 9/22 (41%) 的单纯性囊肿在中位 13 周 (8-17) 内自然消退。复杂囊肿在 13 周 (7-39) 内自发消退的频率较低，为 7/56（12%，P = 0.01）。 38/56 (68%) 复杂囊肿和 12/22 (55%) 简单囊肿接受手术治疗。最初患有简单囊肿的卵巢有 21/22 (95%) 被挽救，而最初患有复杂囊肿的卵巢则有 20/56 (36%) 被挽救 (P < 0.001)。 23/26 复杂囊肿中的液体碎片水平与卵巢丧失最相关（P = 0.0006）。在卵巢保留手术期间的 8/20 (40%) 切除标本中以及 5/30 (17%) 的卵巢坏死的卵巢切除标本中观察到存活的卵巢基质组织的存在。美国的液体碎片水平与可能由于先前扭转而导致的卵巢丧失显着相关。简单的囊肿是可行的并且通常会自发消退。在切除的标本中发现存活的卵巢基质组织支持尽可能尝试保存卵巢。
To identify markers of previous ovarian torsion and outline the outcomes according to US appearance and operative management. A retrospective single-centre review of neonatal ovarian cysts from January 2000 to January 2020. Data on postnatal cyst size and sonographic features and operative treatment were co-related with outcomes of ovarian loss and histology. 77 females were included with 22 simple and 56 complex cysts, one patient had bilateral cysts. 9/22 (41%) simple cysts regressed spontaneously in a median of 13 weeks (8–17). Complex cysts regressed spontaneously less frequently, 7/56(12%, P = 0.01), in 13 weeks (7–39). 38/56 (68%) complex and 12/22 (55%) simple cysts were treated operatively. 21/22 (95%) ovaries with initially simple cyst were salvaged compared to 20/56(36%) with initially complex cyst (P < 0.001). A fluid-debris level in 23/26 complex cysts was most associated with ovarian loss (P = 0.0006). Presence of viable ovarian stromal tissue was seen in 8/20 (40%) excised specimens during ovarian sparing procedures and in 5/30 (17%) oophorectomies for necrotic appearing ovaries. Fluid-debris level on US is significantly associated with ovarian loss likely due to previous torsion. Simple cysts are viable and often regress spontaneously. The finding of viable ovarian stromal tissue in resected specimens supports attempting ovarian preservation wherever possible.
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影响因子：
2.4
作者：
Tyraskis, Athanasios;Bakalis, Spyros;De Coppi, Paolo
通讯作者：
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作者：
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