青春期卵巢囊肿二次蒂扭转术后复发一例  

A Case of Recurrent Adolescent Ovarian Cyst after Two Torsion Operations

作　　者：石皆春 范子玉 顾辰洁 马昕宇 邢燕 SHI Jie-chun;FAN Zi-yu;GU Chen-jie;MA Xin-yu;XING Yan(Department of Gynecology,The First Affiliated Hospital of Nanjing Medical University,Jiangsu Province Hospital,Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院(江苏省人民医院)妇科,210029

出　　处：《国际妇产科学杂志》2024年第4期433-437,共5页Journal of International Obstetrics and Gynecology

摘　　要：卵巢囊肿为妇科常见疾病,可见于育龄期各个年龄段,其中卵巢滤泡囊肿属于卵巢瘤样病变,其缺乏特异性症状。儿童期、青春期可表现为附件扭转。对于复发性卵巢滤泡囊肿,短效避孕药可有效促使滤泡囊肿消退,有效阻止滤泡囊肿的再次形成。报道1例短效避孕药治疗青春期卵巢囊肿二次蒂扭转术后复发的病例,该患者两次入院均为卵巢囊肿蒂扭转,均行手术治疗,两次手术治疗后短期内再次复发,均为多房、巨大囊肿,较为少见。考虑患者年龄及短期内两次卵巢囊肿手术史,出于生育力保护及长期管理的观念,二次术后复发后未选择再行手术治疗,给予该例患者口服短效避孕药5个月,期间囊肿逐渐减小直至消失。后规律随访复查,未见卵巢囊肿再次复发。Ovarian cyst is a common gynecological disease,which can be seen at all ages during the reproductive age,and ovarian follicular cyst is an ovarian tumor-like lesion that lacks specific symptoms.In childhood and adolescence,ovarian follicular cyst may present as adnexal torsion.In recurrent ovarian follicular cyst,short-acting contraceptives can effectively promote the regression of follicular cysts and prevent the formation of follicular cysts.This paper reports a case of recurrent adolescent ovarian cyst treated with short-acting contraceptive pills after two torsion operations for ovarian cysts.In this case,the patient was admitted twice for torsion of the pedicle of ovarian cyst and underwent surgical treatment,and both recurred again within a short period of time after the two surgical treatments,both of which were multilocular and huge cysts,which was relatively uncommon.Considering the age of the patient and the history of two operations on ovarian cysts in a short period,due to the concept of fertility protection and long-term management,no further operation was chosen after the second postoperation recurrence.The patient was given short-acting oral contraceptives for 5 months,during which the cysts gradually decreased in size until they disappeared.No recurrent ovarian cyst was found in regular follow-up review.

关 键 词：卵巢 滤泡囊肿 卵巢扭转 青少年 诊断 治疗 

分 类 号：R713.6[医药卫生—妇产科学]