Obstetrics & gynecology science

Korean Society of Obstetrics and Gynecology (대한산부인과학회)
권호 표지

A Clinical Study of Peritoneal Inclusion Cysts

복막 봉입체 낭포의 임상적 고찰

Kim, Su-Hyun;Song, Jun-Baek;Park, Jeong-Hyun;Lee, Chang-Hwan;Ku, Su-Jung;Kim, Tae-Sang
김수현;송준백;박정현;이창환;구수정;김태상

  • Published : 20021200
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Abstract

Objective : The aim of this study is to review 6 years' experience of peritoneal inclusion cysts at our hospital. Methods : A retrospective study of 13 cases of peritoneal inclusion cysts between Jan. 1, 1996 and Dec. 31, 2001 was carried out and then clinical feature, radiologic finding, and treatment method were compared with previous reports. Results : Most of patients were premenopausal. Chief complaints were lower abdominal pain or palpable abdominal mass, and so forth. The majority of patients had history of lapalotomy. Peritoneal inclusion cyst was diagnosed by ultrasonogrphy and CT. Most specific finding is that normal ovary is seen in the cysts. In the past, operation was the main treatment method. Recently sclerotherapy was introduced and available. Conclusion : Because peritoneal inclusion cyst is benign and uncommon disease, it had not been interesting part. So, preoperative diagnosis rate was low and surgical resection was main treatment method. Preoperative diagnosis rate has been higher after it's clinical feature and specific radiologic findings were reported. Recently, conservative treatment may substitute for operation.

목적 : 대구 파티마병원에서 6년 동안 경험한 복막 봉입체 낭포를 조사 분석하기 위함이다. 연구 방법 : 1996년 1월 1일부터 2001년 12월 31일까지 진단, 치료한 복막 봉입체 낭포 13예에 대해 의무기록, 수술기록 및 병리보고서를 검토하여 임상적 특징, 진단 방사선적 소견과 치료 방법 등을 문헌 고찰과 함께 비교하였다. 결과 : 복막 봉입체 낭포 환자의 연령 분포는 대부분 가임기이다. 주증상은 하복부 통증이나 만져지는 복부 종괴가 많았다. 대부분 환자에서 복부 수술의 기왕력이 있었다. 진단은 초음파, 컴퓨터 단층 촬영 등으로 가능하며 가장 특징적인 소견이 낭종 내부에서 정상 난소가 보이는 것이다. 치료는 과거 수술적 치료가 대부분이었으나 최근 보존적 치료 방법들이 소개되어 임상적으로 이용되고 있다. 결론 : 복막 봉입체 낭포는 양성 질환이고 부인과적으로 드문 질환이어서 과거 특별한 관심을 받지 못했으며, 진단율도 낮고 치료도 수술적 절제가 일반적이었다. 최근에 일반적인 임상 양상과 특징적인 방사선 소견들이 소개되면서 진단율이 높아지고 보존적 치료방법이 소개되어 불필요한 수술을 줄일 수 있을 것으로 생각된다.

Keywords

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