Davis A J, Feins N R
Department of Surgery, Children's Hospital, Harvard Medical School, Boston, MA.
J Pediatr Surg. 1990 Jun;25(6):687-9. doi: 10.1016/0022-3468(90)90365-g.
Children who have suffered from ovarian torsion may be at increased risk for a repetitive event. Torsion in a normal adnexa may be due to excessive mobility resulting from congenitally long supportive ligaments. Oophoropexy or shortening of the ligamentous support of the remaining functional ovary after torsion is recommended in attempt to prevent a subsequent torsion. The evaluation of young females with abdominal pain should always include the consideration of ovarian torsion. Preoperative ultrasonography is not invasive and could lead to earlier operative intervention resulting in salvage of ovarian tissue. Observation in these same children may allow a torsed edematous ovary to convert to a nonviable necrotic tissue necessitating oophorectomy. Laparoscopy is useful in cases in which the diagnosis is unclear.
曾患卵巢扭转的儿童可能再次发生扭转的风险增加。正常附件发生扭转可能是由于先天性韧带过长导致活动度过大。建议在扭转后对剩余有功能的卵巢进行卵巢固定术或缩短韧带支持，以防止再次发生扭转。对有腹痛的年轻女性进行评估时，应始终考虑卵巢扭转的可能性。术前超声检查无创，可促使更早进行手术干预，从而挽救卵巢组织。对这些儿童进行观察可能会使扭转水肿的卵巢转变为无法存活的坏死组织，从而需要进行卵巢切除术。在诊断不明确的情况下，腹腔镜检查很有用。
