摘要
目的探讨附件扭转患者保留卵巢手术的安全性和可行性。方法回顾性分析于我院经手术确诊附件扭转行保留卵巢手术的22例患者的临床资料,并分析手术方案及预后情况。结果患者均成功实施了保留卵巢手术,术后无盆腔炎、肺栓塞等并发症发生;20例患者行腹腔镜手术,2例患者行开腹手术;平均扭转度数(523.64°±235.08°);平均出血量(17.50±11.21)mL;成熟畸胎瘤占多数,占比31.8%(7/22);合并早期妊娠2例,其中1例行开腹卵巢保留手术,现已足月顺娩,另1例行腹腔镜下卵巢保留术+人工流产术,术后40 d月经恢复正常;18例非妊娠患者术后12个月复诊,月经量及经期、周期与术前无明显变化,1例术后第2年足月妊娠剖宫产1女婴;2例月经前期女性,术后1~1.5年月经来潮,且月经正常;术后盆腔超声见患侧卵巢大小正常,有小卵泡或优势卵泡发育。结论附件扭转行保留卵巢手术,具有一定的安全性和可行性,最大程度地保留了年轻女性的内分泌及潜在生殖功能。
Objective To investigate the safety and feasibility of ovarian preservation surgery for patients with adnexal torsion.Methods The clinical data of 22 patients with adnexal torsion who underwent ovarian preservation surgery in our hospital were retrospectively analyzed,and analyzed the surgical plan and prognosis.Results All patients successfully performed ovarian preservation surgery,and no complications such as pelvic inflammatory disease and pulmonary embolism occurred after the operation;20 patients underwent laparoscopic surgery,and 2 patients underwent open surgery;average torsion degree(523.64°±235.08°);average bleeding volume(17.50±11.21)mL;mature teratomas accounted for the majority accounting for 31.8%(7/22);there were 2 cases with early pregnancy,one of them was operated with ovarian preservation by laparotomy and was delivered at term,and the other was operated with ovarian preservation by laparoscopy+induced abortion,and the menstruation returned to normal 40 d after operation;18 non-pregnant patients followed up for 12 months after the operation,menstrual volume,menstrual period,and cycle did not change significantly from those before the operation,one case had a full-term pregnancy in the second year after the operation and a female baby was delivered by cesarean section;2 premenstrual women,menstrual cramps 1~1.5 years after operation,and normal menstruation;postoperative pelvic ultrasound showed that the affected ovaries were normal in size,with small follicles or dominant follicles developing.Conclusion Ovarian preservation surgery for adnexal torsion is safe and feasible,which can preserve the endocrine and potential reproductive function of young women to the greatest extent.
作者
马丹
安瑞芳
MA Dan;AN Ruifang(Xi'an Jiaotong University,Xi'an 710049,China)
出处
《临床医学研究与实践》
2021年第11期11-13,共3页
Clinical Research and Practice
关键词
附件扭转
卵巢肿瘤
腹腔镜
保留卵巢
adnexal torsion
ovarian tumor
laparoscope
ovarian preservation
