A retrospective multicenter study of the natural history of fetal ovarian cysts
A retrospective multicenter study of the natural history of fetal ovarian cysts
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DOI：
10.1016/j.jpedsurg.2018.02.049
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发表时间：
2018-10-01
影响因子：
2.4
通讯作者：
De Coppi, Paolo
中科院分区：
文献类型：
--
作者：
Tyraskis, Athanasios;Bakalis, Spyros;De Coppi, Paolo
目的：我们调查了胎儿卵巢囊肿的自然史，根据大小估计扭转的风险。方法：病例从2000年1月1日至2015年1月1日确定。收集出生前和出生后囊肿大小和超声特征的数据，直到手术、扭转或消退的结果。分类数据采用Fisher精确检验，连续数据采用Logistic回归分析，以检验尺寸对扭转的显著性; P值40 mm，P = 0.003），但扭转率无显著性差异（0-40 mm与0-40 mm之间为10%）。>40 mm者为25%（P = 0.26）。保守治疗组中位产后消退时间为10周（5-27周）。结论：N40 mm囊肿自发消退的可能性明显较低，但扭转与囊肿大小无明显相关性。囊肿内未见并发症
Aim: We investigated the natural history of fetal ovarian cysts to estimate the risk of torsion according to size.Methods: Cases were identified from 1/1/2000 until 1/1/2015. Data were collected pre-and postnatally on cyst size and sonographic features until an outcome of surgery, torsion, or resolution. Fisher's exact test for categorical data and logistic regression for continuous data were used to test the significance of size on torsion; P value 40 mm, P = 0.003), but the rate of torsionwas not significantly different (10% in 0-40 mmvs. 25% in >40 mm, P = 0.26). The median time to postnatal resolutionwas 10 (5-27) weeks in those treated conservatively.Conclusion: Cysts N40 mm are significantly less likely to resolve spontaneously; however torsion showed no significant correlation with cyst size. No complications were observed in cysts