卵巢疝1例报告并文献复习  

Clinical analysis of ovarian hernia: report of 1 case

作　　者：庞丽[1] 杨慧[1] 马晓欣[1] PANG Li;YANG Hui;MA Xiao-xin(Department of Obstetrics and Gynecology,Shengjing Hospital Affiliated to China Medical University,Shenyang 110004,China)

机构地区：[1]中国医科大学附属盛京医院妇科

出　　处：《中国实用妇科与产科杂志》2019年第9期1050-1053,共4页Chinese Journal of Practical Gynecology and Obstetrics

基　　金：辽宁省自然科学基金（20180550178）

摘　　要：目的探讨卵巢疝的临床特征、诊断、治疗及预后。方法回顾性分析中国医科大学附属盛京医院2018-07-18收治的1例卵巢疝病例的临床资料,并对国内外相关文献进行分析及总结。结果患者30岁,以“取卵后外阴疼痛1d,加重4h”为主诉入院。彩超提示:左侧阴阜部见5.2cm×3.6cm×3.5cm包块,考虑为外阴肿物,为明确诊断遂行MRI检查,提示卵巢疝。急诊行腹股沟疝高位结扎修补术+卵巢修补术,术中成功保留卵巢。查阅国内外相关文献共检索到6篇共6例已报道病例,显示该病常表现为自觉腹股沟包块、下腹痛或无症状;治疗方法以手术为主;对于年轻女性,需早期诊断、早期治疗,尽可能保留卵巢。结论对于患有卵巢疝的育龄女性,建议根据临床症状早诊断、早治疗,避免误诊,以多模式和多学科的方法,安全和有效地保留卵巢功能。Objective To explore the clinical characteristics,diagnosis,treatment,and prognosis of ovarian hernia. Methods The clinical data of 1 case of ovarian hernia admitted to Affiliated Shengjing Hospital,China Medical University,from 2018- 07- 18 were analyzed,and the related literatures at home and abroad were analyzed and summarized.Results The patient was 30 years old and visited hospital with the chief complaints of“1d of vulva pain after assisted reproduction with 4h of aggravation”.Ultrasonography showed that a 5.2cm×3.6cm×3.5cm mass was seen in the left pubic mound,which was considered to be the vulva neoplasm.The pain was not significantly alleviated after the vaginal mass puncture treatment in the assisted reproductive department.MRI examination suggested ovarian hernia.High ligation repair of inguinal hernia and ovary repair were performed in emergency.Ovaries were successfully retained during the operation.A total of 6 cases have been reported by searching relevant literatures at home and abroad.The disease is often manifested as conscious inguinal mass,lower abdominal pain or asymptomatic.The treatment method is mainly surgery.For young women,early diagnosis and treatment should be made as soon as possible to preserve the ovary. Conclusion Early diagnosis and treatment based on clinical symptoms is recommended to avoid misdiagnosis for young women with reproductive function.A multimodal and multidisciplinary approach is recommended to safely and effectively preserve ovarian function.

关 键 词：卵巢疝 保留生育力 腹股沟包块 腹痛 

分 类 号：R711.75[医药卫生—妇产科学]