Gupta Avantika, Gadipudi Avanthi, Nayak Deepthi
Department of Obstetrics and Gynaecology, Jawaharlal Nehru Institute of Postgraduate Medical Education and Research (JIPMER), Dhanvantri Nagar, Puducherry, 605006 India.
J Obstet Gynaecol India. 2020 Jun;70(3):220-224. doi: 10.1007/s13224-020-01319-3. Epub 2020 May 6.
The aim of the study was to analyse risk factors, surgical findings, ovarian salvage rate and histology of ovarian mass. We reviewed 81 cases of surgically proven ovarian torsion retrospectively from June 2014 to June 2019 at a tertiary care referral centre in South India. Demographic, clinical and surgical details of all patients were noted from the medical records. Mean age of the patients was 26 years. Most of the patients were nulliparous and had a pre-existing ovarian mass of size > 5 cm. Ovarian salvage rate was 43.2%. Concomitant cystectomy with detorsion was done in 30 patients without increase in blood loss or complications. Extensive necrosis was present in 78.2% of oophorectomy specimens. Most common histology of ovarian mass in cystectomy specimens was simple ovarian cyst.
本研究的目的是分析卵巢肿块的危险因素、手术发现、卵巢挽救率及组织学情况。我们回顾性分析了2014年6月至2019年6月在印度南部一家三级医疗转诊中心经手术证实的81例卵巢扭转病例。从病历中记录了所有患者的人口统计学、临床和手术细节。患者的平均年龄为26岁。大多数患者未生育，且先前存在大小>5 cm的卵巢肿块。卵巢挽救率为43.2%。30例患者在扭转复位的同时进行了囊肿切除术，未增加失血量或并发症。78.2%的卵巢切除标本存在广泛坏死。囊肿切除标本中卵巢肿块最常见的组织学类型为单纯性卵巢囊肿。
