Bouguizane S, Bibi H, Farhat Y, Dhifallah S, Darraji F, Hidar S, Lassoued L, Chaieb A, Khairi H
Service de Gynécologie Obstétrique, Hôpital Farhat Hached, Sousse, Tunisie.
J Gynecol Obstet Biol Reprod (Paris). 2003 Oct;32(6):535-40.
To evaluate the clinical findings and therapeutic options following adnexal torsion.
A retrospective series of 135 patients presenting with adnexal torsion between January 1992 and December 2001 in Sousse- Tunisia- a university teaching hospital.
Adnexal torsion accounted for 14.8% of surgically treated adnexal tumors. Pregnancy was associated in 17% of cases and diagnosis was accurate at first clinical examination in only 57.8% of cases. Ultrasound allowed visualisation of Adnexal Diseases in all cases. Operative laparoscopy was successfully achieved in 34% of patients. Conservative management was used in 57% of the premenopausal patients. No major postoperative complication was noted.
Clinicians must be aware of a possible adnexal torsion in women with acute pelvic pain. Ultrasound is a useful tool in these situations. Laparoscopy allows diagnosis and surgical management even during pregnancy.
评估附件扭转后的临床发现及治疗选择。
对1992年1月至2001年12月期间在突尼斯苏塞一家大学教学医院就诊的135例附件扭转患者进行回顾性研究。
附件扭转占手术治疗附件肿瘤的14.8%。17%的病例与妊娠有关，仅57.8%的病例在首次临床检查时诊断准确。超声在所有病例中均可观察到附件疾病。34%的患者成功实施了手术腹腔镜检查。57%的绝经前患者采用了保守治疗。未发现重大术后并发症。
临床医生必须意识到急性盆腔疼痛女性可能存在附件扭转。在这些情况下，超声是一种有用的工具。腹腔镜检查即使在孕期也可用于诊断和手术治疗。
