异步双侧卵巢扭转：三个病例，三点教训。
Asynchronous Bilateral Ovarian Torsion: Three Cases, Three Lessons.
作者信息
Lucchetti M C, Orazi C, Lais A, Capitanucci M L, Caione P, Bakhsh H
机构信息
Nephro-Urology Department, Bambino Gesù Children's Hospital, Rome, Italy.
Imaging Department, Bambino Gesù Children's Hospital, Rome, Italy.
出版信息
Case Rep Pediatr. 2017;2017:6145467. doi: 10.1155/2017/6145467. Epub 2017 Dec 18.
BACKGROUND
Ovarian torsion (OT) is a serious condition, and delay in surgical intervention may result in loss of the ovary. Children and adolescents who have suffered from ovarian torsion may be at risk for asynchronous torsion of the contralateral ovary.
STUDY OBJECTIVE
Three cases of asynchronous bilateral ovarian torsion were reported to analyse clinical history of three patients, to review the current literature, and to draw a conclusion for future treatment.
DESIGN
Case reports and review of the literature.
RESULT
When a prepubertal girl presents with an ovarian torsion, several considerations have to be taken in account in order to preserve her future fertility; in particular, the pediatric surgeon/gynecologist has to preserve as much as possible the twisted ovary in addition to considering the fate of the contralateral ovary.
SUMMARY AND CONCLUSIONS
Pelvic pain in a young girl has always raised the clinical suspect of an ovarian torsion; the possibility of asynchronous bilateral ovarian torsion is rare, but it is described in the literature and has catastrophic consequences; this condition has to be known and treated in the proper way by pediatric surgeons as well as by gynecologists in order to maximize the future fertility of the young patients.
背景
卵巢扭转（OT）是一种严重疾病，手术干预延迟可能导致卵巢丧失。患有卵巢扭转的儿童和青少年可能有对侧卵巢异步扭转的风险。
研究目的
报告3例异步双侧卵巢扭转病例，分析3例患者的临床病史，回顾当前文献，并得出未来治疗的结论。
设计
病例报告及文献回顾。
结果
当青春期前女孩出现卵巢扭转时，为了保留其未来生育能力，必须考虑几个因素；特别是，小儿外科医生/妇科医生除了考虑对侧卵巢的命运外，还必须尽可能保留扭转的卵巢。
总结与结论
年轻女孩的盆腔疼痛一直会引起卵巢扭转的临床怀疑；异步双侧卵巢扭转的可能性很少见，但文献中有描述且后果严重；小儿外科医生和妇科医生必须了解并以正确方式治疗这种情况，以最大限度提高年轻患者未来的生育能力。
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