Fouedjio Jeanne Hortence, Fouelifack Florent Ymele, Nnang Nadège Amougou, Mbu Robinson Enow
Unité de Gynécologie et Obstétrique de l'Hôpital Central de Yaoundé Cameroun; Département de Gynécologie et Obstétrique de la Faculté de Médecine et des Sciences Biomédicales de l'Université de Yaoundé I, Yaoundé, Cameroun.
Unité de Gynécologie et Obstétrique de l'Hôpital Central de Yaoundé Cameroun; Département de Gynécologie et Obstétrique de l'Institut Supérieur de Technologies Médicales de Nkolondom, Yaoundé, Cameroun.
Pan Afr Med J. 2016 Nov 30;25:207. doi: 10.11604/pamj.2016.25.207.9939. eCollection 2016.
Supposed benign ovarian tumors (SBOT) are considered one of the most frequent reasons for gynecological consultation and one of the most common indications for gynecological surgery.
We conducted a retrospective descriptive study in the Department of Obstetrics and Gynecology at the Central Hospital of Yaoundé. We carried out a 6-month study, over a five-year period, from 1 January 2010 to 31 December 2014. The study population consisted of all patients undergoing surgery for the treatment of supposed benign ovarian tumor during the study period.
The mean age was 29.33 ± 6.83 with a minimum age of 20 years and a maximum age of 48 years. The most represented age range was 21-25 years. The reason for consultation was pelvic pain in 93.90% of the cases. Eleven patients were pregnant women (33.3% of our study population) and 72.70% were in their first trimester. SBOTs in our series were: cyst rupture (36.40%), ovarian torsion (adnexal torsion) (27.30%), voluminous ovarian cyst (21.20%) intracystic haemorrhage (15.20% ). 26 (78.78%) patients were treated conservatively. However, adnexectomy was performed in 5 out of 9 patients with ovarian torsion.
Complex SBOTs can occur in our mids, especially in patients of reproductive age. Late diagnosis, especially in the case of ovarian torsion, obliges to perform radical procedure with deleterious effects upon the patient. Laparoscopy is the most recommended surgical procedure if the technical equipment is available because it reduces the risk of complications.
疑似良性卵巢肿瘤（SBOT）被认为是妇科会诊最常见的原因之一，也是妇科手术最常见的指征之一。
我们在雅温得中心医院妇产科进行了一项回顾性描述性研究。我们在2010年1月1日至2014年12月31日的五年期间进行了为期6个月的研究。研究人群包括在研究期间接受手术治疗疑似良性卵巢肿瘤的所有患者。
平均年龄为29.33±6.83岁，最小年龄为20岁，最大年龄为48岁。最具代表性的年龄范围是21 - 25岁。93.90%的病例会诊原因是盆腔疼痛。11名患者为孕妇（占我们研究人群的33.3%），72.70%处于孕早期。我们系列中的SBOT包括：囊肿破裂（36.40%）、卵巢扭转（附件扭转）（27.30%）、巨大卵巢囊肿（21.20%）、囊内出血（15.20%）。26名（78.78%）患者接受了保守治疗。然而，9名卵巢扭转患者中有5名进行了附件切除术。
复杂的SBOT可发生在我们中间，尤其是育龄患者。诊断延迟，特别是在卵巢扭转的情况下，不得不进行根治性手术，对患者有有害影响。如果有技术设备，腹腔镜检查是最推荐的手术方法，因为它可降低并发症风险。
