腹腔镜外科杂志2025，Vol.30Issue(3)：201-205,5.DOI:10.13499/j.cnki.fqjwkzz.2025.03.201
儿童单纯性卵巢囊肿38例临床分析
Clinical analysis of 38 children with simple ovarian cysts
摘要
Abstract
Objective:To explore the diagnosis and treatment experience of simple ovarian cysts in children.Methods:The clinical data of 38 children with simple ovarian cysts from Aug.1,2014 to Aug.1,2024 were retrospectively analyzed,including clinical manifestations and cyst size.The patients were divided into conservative group(n=15)and surgical group(n=23)based on their treatment methods.Results:The median age was 14.03 years(range:0.16～18.00 years).Among them,18 cases were located on the left side,16 on the right side,and 4 were bilateral.Ultrasound revealed cyst sizes ranging from 2.50 cm to 14.00 cm.The clinical symp-toms included:lower abdominal pain(20 cases),detected during physical examination(16 cases),and menstrual abnormalities(2 ca-ses).All patients underwent ultrasound and blood routine examination.Among them,15 patients were treated conservatively with ultra-sound follow-up,which showed that the cysts shrunk or disappeared(diameter<5 cm,infants<4 cm),with no clinical symptoms.23 patients underwent surgical treatment,with 16 patients undergoing laparoscopic cystectomy and 7 patients undergoing laparoscopic ad-nexectomy.Postoperative pathological examination confirmed that all 23 cases were simple ovarian cysts.Postoperative follow-up was conducted for 3 to 24 months,and the ovarian blood supply recovered well in patients who retained their ovaries,with no recurrence of cysts observed.The mean diameters of ovarian cysts were(7.64±2.73)cm in the surgical group and(4.15±1.48)cm in the conserva-tive group,and the difference was statistically significant(P<0.05).Conclusions:Surgical exploration is recommended for patients with simple ovarian cysts who have obvious clinical symptoms,a diameter of≥5 cm(≥4 cm in infants),and uncertainty in ultrasound findings,especially when acute abdomen(such as torsion or rupture of the cyst)is suspected.Laparoscopic surgery is the preferred ap-proach,and maximal preservation of ovarian tissue is recommended during surgery.关键词
卵巢囊肿/囊肿切除术/附件切除术/腹腔镜检查/儿童Key words
Ovarian cysts/Cystectomy/Adnexectomy/Laparoscopy/Child分类
临床医学引用本文复制引用
赵作辉,高华宇,徐跃,曲宏懿..儿童单纯性卵巢囊肿38例临床分析[J].腹腔镜外科杂志,2025,30(3):201-205,5.基金项目
山东省卫健医疗管理研究中心基金项目(SDWJYJ2024LM01003) （SDWJYJ2024LM01003）
北京科创医学发展基金会项目(KC2023-JX-0186-BQ078) （KC2023-JX-0186-BQ078）
山东省医务职工科技创新计划(SDYWGZKCJHLH202408) （SDYWGZKCJHLH202408）
