Rollene Nanette, Nunn Melissa, Wilson Timothy, Coddington Charles
From the Mayo Clinic, Rochester, Minnesota.
Obstet Gynecol. 2009 Aug;114(2 Pt 2):422-424. doi: 10.1097/AOG.0b013e3181a1d15b.
Recurrent ovarian torsion in a premenarchal adolescent girl is a rare event. Several methods of prevention using surgical plication have been proposed, which require varying degrees of technical expertise and can result in altered reproductive anatomy.
A premenarchal adolescent girl presented with a history of salpingo-oophorectomy for torsion and recurrence treated by detorsion. She was evaluated for preventive strategies and underwent a laparoscopic oophoropexy, performed using transvaginal ultrasound guidance, to facilitate access should oocyte retrieval be indicated for future fertility.
Recurrent ovarian torsion is an uncommon event, but given the possibility of permanent sterility, oophoropexy should be discussed. As assisted reproductive technology procedures become more common, oophoropexy designed to aid ovarian access should be considered before surgical intervention.
青春期前少女复发性卵巢扭转是一种罕见事件。已经提出了几种使用手术折叠的预防方法，这些方法需要不同程度的技术专长，并且可能导致生殖解剖结构改变。
一名青春期前少女有因扭转和复发而进行输卵管卵巢切除术及扭转复位治疗的病史。她接受了预防性策略评估，并在经阴道超声引导下进行了腹腔镜卵巢固定术，以便在未来生育需要取卵时便于操作。
复发性卵巢扭转是一种罕见事件，但鉴于存在永久性不孕的可能性，应讨论卵巢固定术。随着辅助生殖技术程序越来越普遍，在手术干预前应考虑设计用于辅助卵巢操作的卵巢固定术。
