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超声在评估婴幼儿卵巢疝卵巢绞窄中的临床价值。

The clinical value of ultrasound in assessing ovarian strangulation in female infants and toddlers with ovarian hernia.

作者信息

Gu Jiaojiao, Liu Chen

机构信息

Department of Medical Ultrasonics, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.

出版信息

Front Pediatr. 2024 May 22;12:1366516. doi: 10.3389/fped.2024.1366516. eCollection 2024.

DOI:10.3389/fped.2024.1366516
PMID:38840801
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11150631/
Abstract

OBJECTIVE

To explore the clinical value of ultrasound examination in evaluating the presence of ovarian torsion in female infants with inguinal ovarian hernia.

METHODS

We conducted a retrospective analysis of 91 cases of ovarian hernia diagnosed by ultrasonography at our institution. Among them, 6 cases were identified as ovarian strangulation, while 85 cases were classified as non-ovarian strangulation. All cases underwent high-frequency ultrasound examination. We analyzed whether there were differences in the associated factors between the two groups and compared the disparities in the urgency of surgery between the two groups.

RESULTS

Significant differences were observed between the ovarian strangulation group and the non- strangulation group in terms of ovarian volume, ovarian blood flow, and the presence of incarceration. The need for emergency surgery was significantly associated with the presence of incarceration and ovarian torsion.

CONCLUSION

Ultrasound has good clinical value in diagnosing ovarian hernia and determining the presence of ovarian strangulation. It can assist clinical physicians in determining the timing of surgery for children with ovarian hernia.

摘要

目的

探讨超声检查在评估腹股沟卵巢疝女婴卵巢扭转情况中的临床价值。

方法

对我院经超声诊断的91例卵巢疝病例进行回顾性分析。其中,6例被确定为卵巢绞窄,85例被归类为非卵巢绞窄。所有病例均接受高频超声检查。我们分析了两组之间相关因素是否存在差异,并比较了两组手术紧迫性的差异。

结果

卵巢绞窄组与非绞窄组在卵巢体积、卵巢血流及嵌顿情况方面存在显著差异。急诊手术的需求与嵌顿及卵巢扭转的存在显著相关。

结论

超声在诊断卵巢疝及确定卵巢绞窄情况方面具有良好的临床价值。它可协助临床医生确定卵巢疝患儿的手术时机。

相似文献

1
The clinical value of ultrasound in assessing ovarian strangulation in female infants and toddlers with ovarian hernia.超声在评估婴幼儿卵巢疝卵巢绞窄中的临床价值。
Front Pediatr. 2024 May 22;12:1366516. doi: 10.3389/fped.2024.1366516. eCollection 2024.
2
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本文引用的文献

1
Single-site laparoscopic high ligation of the extraperitoneal hernia sac with an epidural needle for incarcerated ovarian hernia in infants.经皮硬膜外针单点腹腔镜高位结扎腹膜外疝囊治疗婴儿嵌顿性卵巢疝
BMC Surg. 2022 Feb 23;22(1):67. doi: 10.1186/s12893-022-01520-3.
2
Spontaneous reduction age for ovarian hernia in early infancy.婴儿期卵巢疝的自发复位年龄。
Pediatr Int. 2022 Jan;64(1):e15024. doi: 10.1111/ped.15024.
3
Ovarian inguinal hernia - a possibility in MURCS syndrome.卵巢腹股沟疝——MURCS 综合征的一种可能性。
J Ovarian Res. 2021 Sep 3;14(1):114. doi: 10.1186/s13048-021-00869-y.
4
Inguinal ovarian hernia on point of care ultrasound: case reports and review of the literature.超声即时诊断的腹股沟卵巢疝:病例报告和文献复习。
Emerg Radiol. 2022 Feb;29(1):215-217. doi: 10.1007/s10140-021-01981-8. Epub 2021 Aug 24.
5
Ovarian Incarceration and Torsion in Single-Ovary Versus Multiple-Reproductive Organ Prolapse in Female Inguinal Hernia: A Retrospective Study of 510 Infants Who Underwent Laparoscopic Hernia Repair.单侧卵巢脱垂与多发生殖器官脱垂在女性腹股沟疝中卵巢嵌顿和扭转的比较:510 例婴儿腹腔镜疝修补术的回顾性研究。
J Laparoendosc Adv Surg Tech A. 2021 Jan;31(1):110-116. doi: 10.1089/lap.2020.0531. Epub 2020 Sep 15.
6
Inguinal hernia in girls: A retrospective analysis of over 1000 patients.女孩腹股沟疝:超过 1000 例患者的回顾性分析。
J Pediatr Surg. 2020 Sep;55(9):1908-1913. doi: 10.1016/j.jpedsurg.2020.03.015. Epub 2020 Mar 27.
7
Female reproductive structures found in inguinal hernia sacs: A retrospective review.腹股沟疝囊内发现的女性生殖结构:回顾性研究。
J Pediatr Surg. 2019 Oct;54(10):2134-2137. doi: 10.1016/j.jpedsurg.2019.03.018. Epub 2019 Apr 17.
8
Close relationship between the short round ligament and the ovarian prolapsed inguinal hernia in female infants.女婴短圆韧带与卵巢脱垂性腹股沟疝之间的密切关系。
Pediatr Surg Int. 2019 May;35(5):625-629. doi: 10.1007/s00383-019-04465-6. Epub 2019 Mar 12.
9
Laparoscopic Treatment of Inguinal Ovarian Hernia in Female Infants and Children: Standardizing the Technique.女童及儿童腹股沟卵巢疝的腹腔镜治疗:技术标准化
J Laparoendosc Adv Surg Tech A. 2019 Apr;29(4):568-572. doi: 10.1089/lap.2018.0630. Epub 2019 Jan 24.
10
Risk Factors for Strangulated Ovarian Hernia in Female Infants: the Role of Ovarian Volume.女性婴儿绞窄性卵巢疝的危险因素:卵巢体积的作用。
Curr Med Sci. 2018 Dec;38(6):1032-1037. doi: 10.1007/s11596-018-1980-4. Epub 2018 Dec 7.