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23周体外受精双胎妊娠合并附件扭转的腹腔镜处理

Laparoscopic management of adnexal torsion in a twin, in vitro fertilization pregnancy at 23 weeks.

作者信息

Aydin Turgut, Yucel Burak

机构信息

Assisted Reproduction Unit, Acibadem Hospital, Kayseri, Turkey.

出版信息

Wideochir Inne Tech Maloinwazyjne. 2014 Dec;9(4):655-7. doi: 10.5114/wiitm.2014.45732. Epub 2014 Oct 7.

DOI:10.5114/wiitm.2014.45732
PMID:25562010
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4280421/
Abstract

Maternal adnexal torsion in pregnancy, with a reported incidence of 1-10 per 10,000 spontaneous pregnancies, is very uncommon. Since it has been described as a severe complication after controlled ovarian hyper-stimulation for in vitro fertilization (IVF), it is more common in IVF pregnancies. This condition mainly occurs in the first trimester; it is rare during the late second trimester. Conservative management of adnexal torsion by laparoscopy is extended for the management of such conditions during pregnancy. An enlarged uterus could cause operational difficulties in the second trimester. In this paper, we report a case of adnexal torsion in a twin, 23 weeks with IVF pregnancy, that was successfully untwisted by laparoscopy.

摘要

妊娠合并附件扭转非常罕见,据报道,自然妊娠的发生率为每10000例中有1 - 10例。由于它被描述为体外受精(IVF)控制性卵巢过度刺激后的一种严重并发症,所以在IVF妊娠中更为常见。这种情况主要发生在孕早期;在孕中期晚期很少见。腹腔镜保守治疗附件扭转已被扩展用于孕期此类情况的处理。孕中期子宫增大可能会导致手术困难。在本文中,我们报告了一例23周IVF双胎妊娠合并附件扭转的病例,该病例通过腹腔镜成功解除扭转。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/811c/4280421/ab03e5605bcb/WIITM-9-23606-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/811c/4280421/ab03e5605bcb/WIITM-9-23606-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/811c/4280421/ab03e5605bcb/WIITM-9-23606-g001.jpg

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引用本文的文献

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Adnexal torsion in pregnancy after in vitro fertilization: Case report and literature review.体外受精后妊娠附件扭转:病例报告及文献复习。
Medicine (Baltimore). 2021 Jan 22;100(3):e24009. doi: 10.1097/MD.0000000000024009.
2
Comparison of ovarian torsion between pregnant and non-pregnant women at reproductive ages: sonographic and pathological findings.育龄期孕妇与非孕妇卵巢扭转的比较:超声及病理表现
Quant Imaging Med Surg. 2020 Jan;10(1):137-147. doi: 10.21037/qims.2019.11.06.
3
Laparoscopic Adnexectomy for Ovarian Torsion during Late Pregnancy: Case Report of a Non-Conservative Treatment and Literature Analysis.

本文引用的文献

1
Surgical intervention for maternal ovarian torsion in pregnancy.妊娠合并卵巢囊肿蒂扭转的手术干预。
Taiwan J Obstet Gynecol. 2011 Dec;50(4):458-62. doi: 10.1016/j.tjog.2011.10.010.
2
Evaluation and management of adnexal mass in pregnancy.妊娠附件包块的评估与处理。
Am J Obstet Gynecol. 2011 Aug;205(2):97-102. doi: 10.1016/j.ajog.2011.01.050. Epub 2011 May 14.
3
Comparison of adnexal torsion between pregnant and nonpregnant women.附件扭转在孕妇和非孕妇之间的比较。
晚期妊娠期间腹腔镜附件切除术治疗卵巢扭转:非保守治疗病例报告及文献分析
Front Surg. 2017 Oct 11;4:50. doi: 10.3389/fsurg.2017.00050. eCollection 2017.
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Isolated adnexal torsion in a 20-week spontaneous twin pregnancy.20周自然双胎妊娠中的孤立性附件扭转
Int J Surg Case Rep. 2016;23:138-40. doi: 10.1016/j.ijscr.2016.04.029. Epub 2016 Apr 20.
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The clinical characteristics and sonographic findings of maternal ovarian torsion in pregnancy.妊娠合并卵巢扭转的临床特征及声像图表现。
Fertil Steril. 2009 Dec;92(6):1983-7. doi: 10.1016/j.fertnstert.2008.09.028. Epub 2008 Nov 5.
5
Successful laparoscopic management of adnexal torsion during week 25 of a twin pregnancy.双胎妊娠25周时成功进行腹腔镜下附件扭转处理
Hum Reprod. 1999 Mar;14(3):855-7. doi: 10.1093/humrep/14.3.855.
6
Adnexal torsion of hyperstimulated ovaries in pregnancies after gonadotropin therapy.促性腺激素治疗后妊娠中卵巢过度刺激综合征时附件扭转
Fertil Steril. 1990 Jan;53(1):76-80. doi: 10.1016/s0015-0282(16)53219-1.
7
Clinical, surgical and pathologic findings of adnexal torsion in pregnant and nonpregnant women.孕妇和非孕妇附件扭转的临床、手术及病理表现
Surg Gynecol Obstet. 1991 Nov;173(5):363-6.