Seo Seok K, Lee Jun B, Lee Inha, Yun Jisun, Yun Bo H, Jung Yeon S, Chon Seung J
Department of Obstetrics and Gynecology, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.
Institute of Women's Life Medical Science, Seoul, Korea.
J Obstet Gynaecol Res. 2019 Sep;45(9):1899-1905. doi: 10.1111/jog.14057. Epub 2019 Jul 10.
We evaluated and compared the clinical and pathological differences between pregnant and non-pregnant women with adnexal torsion.
We retrospectively reviewed 239 women with adnexal torsion from January 2006 to December 2015 in a tertiary hospital. The clinical and pathological differences between pregnant and non-pregnant women who underwent surgery for adnexal torsion were analyzed.
The most common pathologies were corpus luteum cysts in pregnant women and dermoid cysts in non-pregnant women. Eight of the pregnant women (24.2%) had a history of exogenous ovarian stimulation, and their episodes were only caused by corpus luteum or a stimulated ovary. In pregnant women, 72.7% of the torsion occurred before the 14th week of gestation.
The common pathology causing adnexal torsion was different, depending on the pregnancy status. Exogenous ovarian stimulation increases the risk of adnexal torsion, and the majority of episodes occurred in the first trimester in pregnant women.
我们评估并比较了妊娠合并附件扭转与未妊娠合并附件扭转的临床及病理差异。
我们回顾性分析了2006年1月至2015年12月在一家三级医院收治的239例附件扭转患者。分析了接受附件扭转手术的妊娠与未妊娠女性之间的临床及病理差异。
最常见的病理类型在妊娠女性中为黄体囊肿，在未妊娠女性中为皮样囊肿。8例妊娠女性（24.2%）有外源性卵巢刺激史，其发作仅由黄体或受刺激的卵巢引起。在妊娠女性中，72.7%的扭转发生在妊娠14周之前。
导致附件扭转的常见病理类型因妊娠状态而异。外源性卵巢刺激会增加附件扭转的风险，且大多数发作发生在妊娠女性的孕早期。
