Childress Krista J, Dietrich Jennifer E
Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, Baylor College of Medicine, 6651 Main Street, 10th Floor, Houston, TX 77030, USA.
Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, Baylor College of Medicine, 6651 Main Street, Suite F1020, Houston, TX 77030, USA.
Surg Clin North Am. 2017 Feb;97(1):209-221. doi: 10.1016/j.suc.2016.08.008.
Adnexal torsion is the fifth most common gynecologic emergency. The vague clinical presentation and variable imaging findings make the diagnosis difficult. If suspicion for adnexal torsion is high enough based on clinical symptoms and imaging findings, prompt intervention should include conservative management with laparoscopic adnexal detorsion and ovarian preservation even in the event of a necrotic-appearing ovary because studies persistently show follicular development and ovarian function after a short time period and no increased patient morbidity.
附件扭转是第五大常见的妇科急症。其临床表现模糊且影像学表现多样，使得诊断困难。如果根据临床症状和影像学表现对附件扭转的怀疑度足够高，即使卵巢外观呈坏死状，及时干预也应包括采用腹腔镜下附件扭转复位及卵巢保留的保守治疗，因为研究持续表明短时间后卵泡仍可发育且卵巢功能不受影响，且患者发病率并未增加。
