卵巢嵌顿疝致卵巢坏死的危险因素分析  

Analysis of Risk Factors for Ovarian Necrosis with Ovarian Incarcerated Hernia

作　　者：杨航 邹浩[1] 纳钊[2] 陈莉[2] 方辉[2] YANG Hang;ZOU Hao;NA Zhao;CHEN Li;FANG Hui(Second Department of Hepatobiliary and Pancreatic Surgery,The Second Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650101;General Surgery and Neonatal Surgery,Kunming Children’s Hospital,Kunming Yunnan 650228,China)

机构地区：[1]昆明医科大学第二附属医院肝胆胰外二科,云南昆明650101 [2]昆明市儿童医院普外新生儿外科,云南昆明650228

出　　处：《昆明医科大学学报》2023年第2期120-124,共5页Journal of Kunming Medical University

基　　金：云南省医学学科带头人培养项目(D-2019012)。

摘　　要：目的 分析女性婴幼儿卵巢嵌顿性腹股沟斜疝导致卵巢坏死的危险因素。方法 回顾性研究昆明市儿童医院2018年6月1日至2021年6月1日间,57例女性婴幼儿卵巢嵌顿性腹股沟斜疝(以下简称为卵巢嵌顿疝)并行手术的患儿,分析患儿的年龄、临床资料、实验室检查、术中有无卵巢扭转,并进行单因素及多因素Logistic回归分析。结果 共纳入57例女性婴幼儿,中位年龄46 d,最小年龄19 d,最大年龄2岁5月。57例患儿均行手术治疗,术中均证实为卵巢嵌顿。单因素分析结果显示白细胞、CRP、卵巢扭转与卵巢坏死有关(P <0.05),多因素分析提示卵巢扭转是术中卵巢坏死的独立危险因素(OR=1.390,95%CI:1.056-1.829,P=0.019)。结论 卵巢扭转是婴幼儿卵巢嵌顿性腹股沟疝发生卵巢坏死的独立危险因素。Objective To explore the risk factors of ovarian necrosis caused by ovarian incarcerated indirect inguinal hernia in female infants. Methods This retrospective study enrolled 57 female infants of incarcerated inguinal hernia( referred to as incarcerated hernia of ovary) who underwent surgery at Children’ s Hospital of Kunming from June 1,2018 to June 1,2021. And the age, clinical characteristics,laboratory tests, whether there was ovarian torsion during operation,were analyzed. The risk factors of ovarian necrosis were identified by univariate and multivariate Logistic analysis. Results 57 female infants were included in this study,with a median age of 46 days,a minimum age of 19 days,and a maximum age of 2 years and 5 months. All 57 children underwent surgical treatment,and all of them were confirmed to have ovarian incarceration. Univariate analysis showed that white blood cells,CRP,and ovarian torsion were associated with ovarian necrosis(P < 0.05). Multivariate analysis indicated that ovarian torsion was an independent risk factor for intraoperative ovarian necrosis(OR = 1.390,95%CI1.056-1.829,P = 0.019). Conclusion Ovarian torsion is an independent risk factor for ovarian necrosis in infants with ovarian incarcerated inguinal hernia.

关 键 词：卵巢嵌顿性腹股沟斜疝 卵巢扭转 卵巢坏死 婴幼儿 危险因素 

分 类 号：R726[医药卫生—儿科]