附件扭转的女孩特征：单中心经验。
Profile of Girls With Adnexal Torsion: Single Center Experience.
机构信息
Department of Pediatric Surgery, Traumatology and Urology, Poznan University of Medical Sciences, Poland. Correspondence to: Dr Patrycja Sosnowska-Sienkiewicz, Department of Pediatric Surgery, Traumatology and Urology, Poznan University of Medical Sciences, ul. Szpitalna 27/33, 60-572 Poznan, Poland.
Department of Pediatric Surgery, Traumatology and Urology, Poznan University of Medical Sciences, Poland.
出版信息
Indian Pediatr. 2022 Apr 15;59(4):293-295. Epub 2022 Jan 9.
OBJECTIVE
To compare features of pre-menarchal and post-menarchal patients with adnexal torsion.
METHODS
We reviewed hospital records to note examination findings, laboratory work-up, imaging results, operative findings and course during hospital stay for 56 girls aged from 7 days to 17 years with adnexal torsion presenting between January, 2012 and December, 2020.
RESULTS
31 girls were pre-menarchal. Pain was the most common symptom. There were significant differences in the volume of the ovary visualized in ultrasound in amenorrheic and menstruating girls [median (IQR) 78234 (39600, 183600) mm3 vs 243432 (158661, 388800) mm3; P=0.004]. Pain was the most common symptom. Over the years, there was an increase in laparoscopic procedures, and efforts to preserve the ovary after the torsion.
CONCLUSIONS
The differential diagnosis in the case of abdominal pain should include adnexal torsion both in non-menstruating and menstruating girls.
目的
比较附件扭转的初潮前和初潮后患者的特征。
方法
我们回顾了医院记录，以记录 56 名年龄在 7 天至 17 岁之间的女孩的检查结果、实验室检查、影像学结果、手术结果和住院期间的病程，这些女孩均因附件扭转于 2012 年 1 月至 2020 年 12 月就诊。
结果
31 名女孩为初潮前。疼痛是最常见的症状。初潮前和初潮后女孩的卵巢超声可见体积有显著差异[中位数（IQR）分别为 78234（39600，183600）mm3 与 243432（158661，388800）mm3；P=0.004]。疼痛是最常见的症状。近年来，腹腔镜手术和扭转后卵巢保护的努力有所增加。
结论
在腹痛的鉴别诊断中，应包括非经期和经期女孩的附件扭转。
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