通过经阴道超声引导下卵巢囊肿抽吸术对卵巢过度刺激综合征患者附件扭转进行保守治疗。
Conservative management of adnexal torsion via transvaginal ultrasound guided ovarian cyst aspiration in patients with ovarian hyperstimulation.
作者信息
Zhu Wenjie, Li Xuemei, Chen Xiumin, Fu Zhihong
机构信息
Department of Reproductive Medical Centre, ShenZhen Maternity and Child Healthcare Hospital, Shenzhen, People's Republic of China.
出版信息
Fertil Steril. 2008 Jan;89(1):229.e1-3. doi: 10.1016/j.fertnstert.2007.01.171. Epub 2007 May 11.
OBJECTIVE
To report the successful conservative management of two patients with acute adnexal torsion by ultrasound-guided transvaginal ovarian cystic aspiration.
DESIGN
Case report.
SETTING
A reproductive medical center.
PATIENTS
Two women with OHSS who had acute lower abdominal pain, nausea, and vomiting, and were found to have acute adnexal torsion.
INTERVENTION(S): An ultrasound-guided transvaginal ovarian cystic aspiration was performed promptly.
MAIN OUTCOME MEASURE(S): The clinical symptoms of acute adnexal torsion after the procedure.
RESULT(S): After the cystic aspiration, acute lower abdominal pain, nausea, and vomiting were relieved immediately. The postoperative course was normal. Neither of the patients had clinical signs of pelvic or systemic thromboembolism.
CONCLUSION(S): Ultrasound-guided transvaginal ovarian cystic aspiration is a simple, safe, and effective method for the conservative management of adnexal torsion.
目的
报告两例通过超声引导经阴道卵巢囊肿抽吸术成功保守治疗急性附件扭转的病例。
设计
病例报告。
地点
一家生殖医学中心。
患者
两名患有卵巢过度刺激综合征（OHSS）的女性，她们出现急性下腹痛、恶心和呕吐，经检查发现患有急性附件扭转。
干预措施
立即进行超声引导经阴道卵巢囊肿抽吸术。
主要观察指标
术后急性附件扭转的临床症状。
结果
囊肿抽吸术后，急性下腹痛、恶心和呕吐立即缓解。术后病程正常。两名患者均无盆腔或全身血栓栓塞的临床体征。
结论
超声引导经阴道卵巢囊肿抽吸术是一种简单、安全且有效的附件扭转保守治疗方法。
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