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卵巢扭转综述

A review of ovary torsion.

作者信息

Huang Ci, Hong Mun-Kun, Ding Dah-Ching

机构信息

Department of Obstetrics and Gynecology, Buddhist Tzu Chi General Hospital and Tzu Chi University, Hualien, Taiwan.

Institute of Medical Sciences, Tzu Chi University, Hualien, Taiwan.

出版信息

Tzu Chi Med J. 2017 Jul-Sep;29(3):143-147. doi: 10.4103/tcmj.tcmj_55_17.

Abstract

Ovarian torsion is a rare but emergency condition in women. Early diagnosis is necessary to preserve the function of the ovaries and tubes and prevent severe morbidity. Ovarian torsion refers to complete or partial rotation of the adnexal supporting organ with ischemia. It can affect females of all ages. Ovarian torsion occurs in around 2%-15% of patients who have surgical treatment of adnexal masses. The main risk in ovarian torsion is an ovarian mass. The most common symptom of ovarian torsion is acute onset of pelvic pain, followed by nausea and vomiting. Pelvic ultrasonography can provide information on ovarian cysts. Once ovarian torsion is suspected, surgery or detorsion is the mainstay of diagnosis and treatment.

摘要

卵巢扭转是女性罕见但紧急的病症。早期诊断对于保留卵巢和输卵管功能以及预防严重发病至关重要。卵巢扭转是指附件支持器官完全或部分旋转并伴有缺血。它可影响所有年龄段的女性。在接受附件肿块手术治疗的患者中,约2% - 15%会发生卵巢扭转。卵巢扭转的主要风险因素是卵巢肿块。卵巢扭转最常见的症状是突发盆腔疼痛,随后伴有恶心和呕吐。盆腔超声检查可提供有关卵巢囊肿的信息。一旦怀疑有卵巢扭转,手术或扭转复位是诊断和治疗的主要手段。

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