带蒂浆膜下子宫平滑肌瘤扭转：一种常见疾病的罕见并发症。
Torsion of pedunculated subserous uterine leiomyoma: A rare complication of a common disease.
作者信息
Lai Yen-Ling, Chen Yu-Li, Chen Chi-An, Cheng Wen-Fang
机构信息
Department of Obstetrics and Gynecology, College of Medicine, National Taiwan University, Taipei, Taiwan.
Department of Obstetrics and Gynecology, College of Medicine, National Taiwan University, Taipei, Taiwan; Department of Obstetrics and Gynecology, National Taiwan University Hospital Hsin-Chu Branch, Hsin-Chu City, Taiwan.
出版信息
Taiwan J Obstet Gynecol. 2018 Apr;57(2):300-303. doi: 10.1016/j.tjog.2018.02.021.
OBJECTIVE
To evaluate the clinical presentations, diagnosis, management, and outcomes of torsion of the pedunculated subserous uterine leiomyoma.
MATERIALS AND METHODS
We retrospectively reviewed medical records of patients with subserous uterine leiomyomas undergoing surgeries at National Taiwan University Hospital from January 2001 to December 2015.
RESULTS
Five cases of torsion of pedunculated subserous uterine leiomyoma were identified. All presented with sudden onset abdominal pain. Two patients received emergent surgeries, the other three cases received scheduled surgeries. The postoperative courses of these five women were uneventful without sequelae.
CONCLUSIONS
Torsion of pedunculated subserous uterine leiomyoma is rare. Accurately diagnosing it prior to surgery is a major challenge. It should be one of the differential diagnosis in patients with uterine leiomyoma presenting with acute abdomen.
目的
评估带蒂浆膜下子宫平滑肌瘤扭转的临床表现、诊断、治疗及结局。
材料与方法
我们回顾性分析了2001年1月至2015年12月在台湾大学医院接受手术的浆膜下子宫平滑肌瘤患者的病历。
结果
共识别出5例带蒂浆膜下子宫平滑肌瘤扭转病例。所有患者均突发腹痛。2例患者接受了急诊手术，另外3例接受了择期手术。这5名女性的术后病程顺利，无后遗症。
结论
带蒂浆膜下子宫平滑肌瘤扭转罕见。术前准确诊断是一项重大挑战。对于出现急腹症的子宫平滑肌瘤患者，应将其作为鉴别诊断之一。
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