Al-Shukri M, Mathew M, Al-Ghafri W, Al-Kalbani M, Al-Kharusi L, Gowri V
Department of Obstetrics and Gynecology, Sultan Qaboos University Hospital, Muscat, Sultanate of Oman.
Ann Med Health Sci Res. 2014 Mar;4(2):286-8. doi: 10.4103/2141-9248.129067.
Abdominal pain is one of the most common presentations of adnexal pathology in gynecology. Early diagnosis and intervention is essential especially in adolescent girls and reproductive age group women to conserve reproductive function.
The purpose of the following study is to assess the clinicopathologic outcome of women with adnexal masses presenting with acute pain.
A retrospective study of women with adnexal masses who had surgical intervention for acute symptoms from June 2007 to May 2012 was undertaken. During the study period, a total of 57 women were operated for adnexal masses as emergency.
Of the 57 women operated for adnexal masses as emergency, the most common pathology was teratoma 26% (15/57) followed by corpus luteal hemorrhage (16%) and endometriosis (14%). Laparoscopy was the initial surgical approach in just over 50% of patients, but surgery was completed laparoscopically only in about one-third of patients. Conservative surgery in the form of ovarian cystectomy was possible in 70% of patients.
Complications of adnexal masses such as torsion and hemorrhage are common causes of acute abdominal pain. Timely diagnosis of the adnexal pathology and surgical intervention will help to preserve the reproductive outcome. Conservative surgery was possible in 70% of our study group.
腹痛是妇科附件病变最常见的表现之一。早期诊断和干预至关重要，尤其是对于青春期女孩和育龄期女性，以保留生殖功能。
以下研究的目的是评估出现急性疼痛的附件肿块女性的临床病理结果。
对2007年6月至2012年5月因急性症状接受手术干预的附件肿块女性进行回顾性研究。在研究期间，共有57名女性因附件肿块作为急诊接受手术。
在57名因附件肿块作为急诊接受手术的女性中，最常见的病理类型是畸胎瘤，占26%（15/57），其次是黄体出血（16%）和子宫内膜异位症（14%）。腹腔镜检查是略超过50%患者的初始手术方法，但只有约三分之一的患者通过腹腔镜完成手术。70%的患者可行卵巢囊肿切除术形式的保守手术。
附件肿块的并发症如扭转和出血是急性腹痛的常见原因。及时诊断附件病变并进行手术干预将有助于保留生殖结局。在我们的研究组中，70%的患者可行保守手术。
