Ovarian cysts in infants and children.

Ovarian cysts in infants and children.
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DOI:
10.1053/j.sempedsurg.2005.01.002
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发表时间:
2005-05-01
影响因子:
1.7
通讯作者:
Helmrath, Michael A
Helmrath, Michael A
中科院分区:
医学4区
文献类型:
--
作者:
Brandt, Mary L;Helmrath, Michael A

文献摘要

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卵巢囊肿的病因因患者的发育阶段和激素环境而异。一般来说,大多数卵巢囊肿本质上是功能性的,通常无需治疗即可消退。如果诊断有疑问、囊肿持续存在或患者有症状,则需要治疗。腹腔镜手术已成为大多数小儿外科医生治疗卵巢囊肿的首选方法。所有卵巢囊肿的手术都应该在技术上尽可能地保留功能性卵巢。单纯囊肿应开窗。复杂或功能性囊肿应切除,保留剩余卵巢。
The etiology of ovarian cysts varies with the developmental stage and hormonal milieu of the patient. In general, most ovarian cysts are functional in nature and usually resolve without treatment. Treatment is indicated if the diagnosis is in question, the cyst persists, or the patient is symptomatic. Laparoscopy has become the approach favored by most pediatric surgeons for the treatment of ovarian cysts. All surgical procedures for ovarian cysts should spare functional ovary as much as is technically possible. Simple cysts should be fenestrated. Complex or functional cysts should be excised, with preservation of the remaining ovary.