Department of Obstetrics and Gynecology, the Chaim Sheba Medical Center, Ramat-Gan, Israel.
Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
J Matern Fetal Neonatal Med. 2022 Dec;35(25):6396-6402. doi: 10.1080/14767058.2021.1914574. Epub 2021 Jul 6.
To evaluate pregnancy outcomes of women with surgically confirmed adnexal torsion (AT) as compared to those in whom AT was ruled out.
A retrospective cohort study in a tertiary medical center. All pregnant women who underwent diagnostic laparoscopy due to suspected AT between 3/2011 and 4/2020 were included. We compared maternal, delivery and neonatal outcomes of both groups. We further compared women with confirmed AT to a control group of women who did not undergo laparoscopy during pregnancy.
During the study period, 112 women met the inclusion criteria. AT was confirmed in 93 cases (83.0%). Baseline characteristics did not differ between groups, excluding the rate of previous AT [5.4% in the torsion vs. 26.3% in the no-torsion group, odds ratio (OR) 0.15, 95% confidence interval (CI) 0.04-0.62, = .004], and nulliparity rate (57.0% in the torsion vs. 31.6% in the no-torsion group, OR 2.41, 95%CI 1.004-8.21, = .043). Pregnancies conceived by assisted reproductive technology were more common in the AT group compared to the no-AT group (46.2% vs. 10.5%, OR 7.21, 95%CI 1.59-33.45, = .002). Miscarriage and stillbirth rates, gestational age at delivery, delivery characteristics and neonatal outcomes were favorable and did not differ between groups. Outcomes of pregnancies with confirmed AT did not differ from a control group of women who did not undergo laparoscopy during pregnancy.
Pregnancy outcomes among women who underwent laparoscopy for a suspected AT during pregnancy were reassuring, irrespective of the surgical findings and gestational week. Outcomes did not differ when compared to pregnant women who did not undergo laparoscopy.
Maternal, fetal and neonatal outcomes among women who underwent laparoscopy for suspected adnexal torsion during pregnancy are reassuring, irrespective of the surgical findings and gestational week.
评估经手术证实的附件扭转（AT）患者的妊娠结局，并与排除 AT 患者进行比较。
这是一项在三级医疗中心进行的回顾性队列研究。纳入 2011 年 3 月至 2020 年 4 月期间因疑似 AT 而行诊断性腹腔镜检查的所有孕妇。比较两组的母婴、分娩和新生儿结局。我们还将经手术证实 AT 的女性与一组在怀孕期间未行腹腔镜检查的对照组女性进行比较。
在研究期间，共有 112 名符合纳入标准的女性。93 例（83.0%）被证实存在 AT。两组间的基线特征无差异，除外既往 AT 发生率[扭转组 5.4%，非扭转组 26.3%，比值比（OR）0.15，95%置信区间（CI）0.04-0.62， = .004]和不孕率（扭转组 57.0%，非扭转组 31.6%，OR 2.41，95%CI 1.004-8.21， = .043）。与非 AT 组相比，AT 组中接受辅助生殖技术受孕的妊娠更为常见（46.2% vs. 10.5%，OR 7.21，95%CI 1.59-33.45， = .002）。流产和死胎率、分娩时的孕龄、分娩特征和新生儿结局均良好，两组间无差异。经手术证实 AT 的妊娠结局与未在怀孕期间行腹腔镜检查的对照组女性无差异。
对于因疑似 AT 而行腹腔镜检查的孕妇，无论手术结果和孕周如何，其妊娠结局均令人安心。与未行腹腔镜检查的孕妇相比，其结局无差异。
对于因疑似附件扭转而行腹腔镜检查的孕妇，无论手术结果和孕周如何，其妊娠结局均令人安心。与未行腹腔镜检查的孕妇相比，其结局无差异。
