卵巢肿瘤蒂扭转保留卵巢功能的手术价值探讨  

The Value of the Surgical Operation to Preserve Ovarian Function for Twisted Ovarian Tumors

作　　者：赵丽红 

机构地区：[1]山东省肥城市人民医院,山东肥城271600

出　　处：《中国医药指南》2017年第22期11-12,共2页Guide of China Medicine

摘　　要：目的探讨先高位结扎卵巢动静脉、阻断卵巢静脉回流、再将扭转的附件复位并剔除卵巢肿瘤的手术方法的可行性。方法对25例卵巢囊肿蒂扭转患者给予先结扎卵巢静脉后将扭转的附件复位再行卵巢肿瘤剔除的临床资料进行回顾性分析,25例患者均在发病72 h内手术。结果手术后所有患者均成功保留了患侧卵巢,术后无不良反应,患侧卵巢血流在术后3~7 d较丰富、15 d接近正常,术后1个月血流及体积均恢复正常,3个月内可见卵泡发育,内分泌功能恢复正常。结论先高位结扎卵巢动静脉、阻断卵巢静脉回流、再将扭转附件复位并剔除卵巢肿瘤的手术方法用于治疗卵巢肿瘤蒂扭转患者是简单可行、安全有效的,具有一定临床推广价值。Objeetive To explore the feasibility of the operation mode of first high ligating the ovarian artey and vein, blocking the venous return, and then reversing the twisted adnexaand and removing the ovarian cyst. Methods 25 patients with ovarian torsion who had undergone the above-mentioned surgery within 72 hours from the onset of the disease to surgery, were analyzed. Results After operation all patients were successfully retained the ipsilateral ovary, no postoperative adverse reaction. The ovarian blood flow in patients was rich after 3-7 days and gradually became normal after 15 days, Flow and volume returned to normal after 1 month, Follicular development could be seen and endocrine function back to normal within 3 months. Conclusion The operation method of high ligation of the ovarian atery and vein, blocking the venous return, and then reversing the twisted adnexa, and removing the ovarian cyst as treatment for adnexal torsion is feasible, safe and effective, has a certain clinical value.

关 键 词：卵巢肿瘤蒂扭转 手术 卵巢功能 

分 类 号：R737.31[医药卫生—肿瘤]