PRACA POGLĄDOWA
TORBIELE JAJNIKA U NOWORODKÓW
 
Więcej
Ukryj
1
Z Oddziału Chirurgii Dziecięcej Wojewódzkiego Szpitala Zespolonego w Koninie
 
Med Og. 2008;14(3)
SŁOWA KLUCZOWE
STRESZCZENIE ARTYKUŁU
Najczęściej spotykanymi torbielami jamy brzusznej u noworodków płci żeńskiej są proste jednostronne torbiele jajnika. Zarówno te wykryte prenatalnie, jak i postnatalnie w są większości bezobjawowe. RównieŜ w większości przypadków ulegają samoistnej regresji, dlatego teŜ wymagają jedynie obserwacji w kolejnych badaniach ultrasonograficznych. Jeśli jednak mamy do czynienie ze zmianami o średnicy większej od 4-5cm, szybko rosnącymi, dającymi objawy ostrego brzucha, czy przysparzającymi trudności diagnostycznych musimy podjąć decyzję o leczeniu operacyjnym. Wybór metody takiego leczenia jest nadal przedmiotem dyskusji, a rozwój technik operacyjnych daje coraz to nowe możliwości. Jednak bez względu na wybraną metodę, najważniejsze, aby leczenie operacyjne miało charakter maksymalnie oszczędzający prawidłową strukturę jajnika.

The abdominal cavity cysts most frequently observed in female babies are lateral ovarian cysts. These cysts may be detected as early as during the prenatal ultrasound examination, most often at the third trimester of pregnancy. Both the cysts diagnosed prenatally and postnatally are mostly asymptomatic, and in the majority of cases spontaneously regress; therefore, they require only observation during the subsequent ultrasound examinations. However, if the changes are of a diameter greater than 4-5 cm, show rapid growth with acute abdominal symptoms, or cause diagnostic difficulties, the decision concerning surgical treatment must be made. Selection of the method of treatment still remains a subject for discussion, and the development of surgical techniques provides increasingly greater possibilities. Nevertheless, irrespective of the selected method, it is most important that the surgical treatment is of the character maximally sparing the normal structure of the ovary.
 
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