妊娠晚期合并卵巢浆液性囊腺瘤蒂扭转一例  

Late Pregnancy with Ovarian Serous Cystadenoma Pedicle Torsion:A Case Report

作　　者：刘思敏 李红丽 郭希 胡雅莉 杨永秀[2] LIU Si-min;LI Hong-li;GUO Xi;HU Ya-li;YANG Yong-xiu(The First School of Clinical Medicine,Lanzhou University,Lanzhou 730000,China;Department of Obstetrics and Gynecology,The First Hospital of Lanzhou University,Gansu Provincial Clinical Research Center for Gynecological Oncology,Lanzhou 730000,China)

机构地区：[1]兰州大学第一临床医学院,730000 [2]兰州大学第一医院妇产科,甘肃省妇科肿瘤临床研究中心

出　　处：《国际妇产科学杂志》2024年第6期632-635,共4页Journal of International Obstetrics and Gynecology

摘　　要：蒂扭转是卵巢肿瘤常见的并发症之一,妊娠期发生扭转的风险会增加,通常出现在妊娠早期或中期,延迟治疗可能导致肿瘤坏死、破裂和继发感染,甚至导致母体卵巢功能丧失、胎儿死亡。蒂扭转的诊断较为困难,作为引起急腹症的一种病因,其临床表现通常是非特异性的,鉴别诊断范围广泛,易误诊。超声检查通常被认为是评估孕妇急腹症的一线成像方式,手术是蒂扭转的标准治疗方法。报告1例妊娠晚期合并卵巢浆液性囊腺瘤蒂扭转的病例资料,患者因腹痛就诊,经超声检查确诊蒂扭转后急诊行手术治疗,术后58 d顺产一体健女婴。通过此病例,并复习相关文献,总结临床经验,以加深临床对该疾病的认识,进而提高诊治能力,减少误诊和漏诊。Pedicle torsion is a common complications of ovarian tumors.There is an increased risk of torsion during pregnancy,usually in early or mid-pregnancy.Delayed treatment may lead to tumour necrosis,rupture,and secondary infection,or even loss of maternal ovarian function and fetal death.The diagnosis of torsion is difficult.As a cause of acute abdomen,its clinical manifestations are usually non-specific,the differential diagnosis range is wide-ranging,and it is prone to misdiagnose.Ultrasound is usually considered the first-line imaging method for evaluating acute abdomen in pregnant women,and surgery is the standard treatment for pedicular torsion.We report the case of torsion of the pedicle with serous cystadenoma of the ovary in the third trimester of pregnancy.The patient was treated for abdominal pain and underwent emergency surgery after diagnosis of torsion of the pedicle by ultrasonography.After 58 days of operation,a healthy baby girl was delivered spontaneously.Through this case we reviewed relevant literature and summarizing clinical experience,in order to deepen our understanding of this disease,improve diagnosis and treatment ability,and reduce misdiagnosis and missed diagnosis.

关 键 词：卵巢肿瘤 囊腺瘤 浆液 异常扭转 妊娠末期 诊断 治疗 

分 类 号：R737.31[医药卫生—肿瘤] R714.2[医药卫生—临床医学]