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目的:探讨采用耻骨上旁开腹直肌外侧腹横纹小切口治疗新生儿和小婴儿卵巢囊肿的疗效。方法:2006年～2007年收治的7例新生儿和小婴儿卵巢囊肿均采用囊肿侧耻骨上旁开腹直肌外侧腹横纹小切口行手术治疗,4例密度均匀,术中未见附件扭转,行囊肿剥除术,术后病理为单纯囊肿,另3例密度不均匀,术中证实囊肿均伴附件扭转720°,行病变侧附件切除,术后病理为单纯囊肿伴出血坏死。术中常规探查对侧附件,1例见有一大小约2.5cm×1.5cm×1.2cm的单纯卵巢囊肿,未予处理。结果:手术时间20～40min,术后6～8h开始进食,未见有并发症发生。结论:如术前能明确诊断,采用耻骨上旁开腹直肌外侧腹横纹小切口是一种合理的并值得推荐的治疗新生儿和小婴儿卵巢囊肿的手术方法。
Objective: To explore the use of the pubic side of the rectus abdominis lateral ventral small incision in the treatment of neonatal and small baby ovarian cysts. Methods: From 2006 to 2007, 7 cases of neonates and small infants with ovarian cysts were treated by small lateral incision of the lateral rectus abdominis lateral rectus abdominis. Four cases had uniform density and no appendix was found during operation , Cyst stripping surgery, postoperative pathology simple cyst, the other three cases of uneven density, intraoperative confirmed cysts are accompanied by attachment reversed 720 °, the lesion side of the attachment resection, postoperative pathological simple cyst with hemorrhage and necrosis. Intraoperative routine exploration of the contralateral attachment, one case see a size of about 2.5cm × 1.5cm × 1.2cm simple ovarian cysts, untreated. Results: The operation time was 20 ~ 40min, 6 ~ 8h after operation, no complication occurred. Conclusion: If preoperative diagnosis can be made clear, the use of the suprapubic lateral rectus abdominis lateralis transverse incision is a reasonable and worthwhile treatment for ovarian cysts in neonates and small infants.