卵巢扭转的临床诊断与处理  

Ovarian Torsion: the diagnosis and treatment

作　　者：丁继莲[1] 潘继存[1] 

机构地区：[1]泰山医学院附属医院妇产科,山东泰安271000

出　　处：《泰山医学院学报》2004年第4期325-327,共3页Journal of Taishan Medical College

摘　　要：目的　结合 9例卵巢扭转的临床资料和文献报告 ,探讨卵巢扭转的临床诊断及处理。方法　 9例病人 ,年龄 13～ 5 8岁 ,其中中期妊娠 3例 ,绝经期 1例 ,2 0岁以下 3例 ,其他 2例。均以腹部疼痛就诊 ,并进行妇科检查 ,8例接受了超声检查 ,以手术 (包括腹腔镜检查 )及临床转归作为确诊方法。结果　 9例病人均未发现卵巢赘生性病变 ,其中 7例常规手术、1例腹腔镜检查证实为卵巢扭转 ,1例于发病 6小时后完全缓解 ,超声显像动态观察证实为卵巢扭转。结论　卵巢扭转是比较少见的妇科急症。临床医生的重视、及时的妇科检查和超声显像检查多可以做出明确的诊断 ,及时的手术可能挽救病变卵巢 ,手术和腹腔镜检查可能是最佳的诊断和处理方法。Objective: To explore clinical diagnosis and treatment of ovarian torsion by comparing their clinical manifestations in 9 cases and studying the literature published. Methods: The study included 9 cases ranging from 13 to 58 year-old: 3 pregnant women of mid-trimester pregnancy, 1 menopause woman, 3 young girls and 2 middle-age women. Abdominal pain occurred in all the patients. Gynecologic examination was performed in 9 cases and ultrasonic examination in 8cases. Results: The diagnosis of ovarian torsion was confirmed by operation in 7 cases, laparoscopy in 1 case and based on the clinical condition, including symptom, physical sign and ultrasonic examination. Conclusions: Ovarian torsion is so seriously gynecologically unfrequent it often results in adnexal removal, and the diagnosis is difficult in the most of the cases. It is important to diagnose the disease in time by gynecologists' experience, gynecologic examination and ultrasonic examination. Emergency operation can sometimes play an important part in safeguarding the ovary. The ideal methods of diagnosis and treatment are surgery operation and laparoscopy.

关 键 词：卵巢扭转 诊断 治疗 

分 类 号：R711.75[医药卫生—妇产科学]