Bider D, Mashiach S, Dulitzky M, Kokia E, Lipitz S, Ben-Rafael Z
Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Tel Hashomer.
Surg Gynecol Obstet. 1991 Nov;173(5):363-6.
A series of 101 patients with adnexal torsion during a 12 year period are reviewed. Twenty patients were pregnant at the time of diagnosis and underwent surgical treatment. Preoperatively, the correct diagnosis was not established in four pregnant patients and in 30 nonpregnant patients. An operation was usually delayed for more than 24 hours. Unwinding of the twisted adnexa, regardless of its appearance, was the main surgical procedure in both groups. The outcome of the pregnancies was favorable. The main histopathologic findings in both groups were cysts of the follicular or corpora lutea.
回顾了12年间收治的101例附件扭转患者。20例患者在诊断时已怀孕并接受了手术治疗。术前，4例孕妇和30例非孕妇未得到正确诊断。手术通常延迟超过24小时。无论扭转附件外观如何，松解扭转附件是两组的主要手术方式。妊娠结局良好。两组的主要组织病理学发现均为卵泡囊肿或黄体囊肿。
