Abstract:

Objective　To investigate the clinical features and treatment of ovarian mass in children. Methods　The data of 34 children with ovarian mass treated in Department of Gynecology, Tengzhou Central People's Hospital from January 2012 to December 2021 were retrospectively analyzed. The clinical and pathological features were summarized; the hot clinical problems of the children with ovarian mass, including the classification of ovarian mass, accessory torsion, malignant tumor, and the characteristics of the children without operation, were analyzed. Results　Among the 34 children, 29 underwent surgical treatment and 2 had malignant tumors; 5 did not undergo surgery. Selective surgery was performed on 17 cases, and emergency surgery on 12 cases, including 6 cases of ovarian cyst pedicle torsion and 1 case of luteal cyst with hemorrhage. There were 30 children who had symptoms; the most common symptom was lower abdominal pain (80.0%, 24/30); 4 children were asymptomatic. The most common pathological type was cystic mature teratoma of the ovary (48.3%, 14/29); the coincidence rate of ultrasonic diagnosis with pathological diagnosis was 82.8% (24/29). The ovarian mass disappeared in the 5 children who did not undergo surgery and they did not undergo surgery. Conclusions　For girls with abdominal pain as the main symptom, it is necessary to be vigilant about the diagnosis of ovarian mass. Ultrasound examination is of great value for the diagnosis and treatment. Most ovarian masses in children are benign lesions, and surgery for the torsion of ovarian masses can preserve their fertility function as much as possible. It is helpful to improve clinical management strategies to discuss the problems of ovarian mass in children.

Key words:

Ovarian mass, Children, Clinical features, Hot issues

摘要：

目的　探讨儿童卵巢肿块的临床特点及临床处理方法问题。方法　回顾性分析2012年1月至2021年12月在滕州市中心人民医院妇科诊治的34例卵巢肿块患儿资料，总结其临床及病理特点，并对儿童卵巢肿块临床热点问题（包括儿童卵巢肿块的分类、附件扭转、恶性肿瘤以及未手术患儿的特点）进行分析。结果　34例患儿中，29例行手术治疗，其中2例为恶性肿瘤，5例未行手术治疗。17例择期手术治疗，12例行急诊手术，其中6例为卵巢囊肿蒂扭转，1例为黄体囊肿伴出血。有症状者30例，最常见的症状为下腹痛（80.0%，24/30），无症状者4例。29例行手术治疗患儿中，最常见病理类型为卵巢囊性成熟性畸胎瘤（48.3%，14/29），超声诊断与病理诊断符合率为82.8%（24/29）。5例未行手术治疗的患儿随访卵巢肿块均消失，未再行手术治疗。结论　对于以腹痛为主要症状就诊的女性儿童，临床需警惕卵巢肿块；超声检查对于诊断和治疗均具有重要价值。儿童卵巢肿块大多数为良性病变，手术对于卵巢肿块扭转可尽最大可能保留生育功能。对儿童卵巢肿块诸多问题进行探讨有助于改善临床处理策略。

关键词:

卵巢肿块, 儿童, 临床特点, 热点问题