摘要
目的探讨采用先高位结扎卵巢动、静脉再将扭转的附件复位并将卵巢囊肿核除的方法治疗附件扭转的临床特点及疗效。方法对2005年3月至2010年11月在解放军第202医院就诊的43例经上述手术保留卵巢的卵巢囊肿蒂扭转患者的临床资料进行分析。结果 43例患者自发病至手术治疗的时间为4～96h,应用上述手术保留卵巢术后病率低,患侧卵巢血流在术后3～7d较丰富,15d后血流逐渐接近正常,术后1～3个月内患侧卵巢可见优势卵泡,5例患者成功妊娠并分娩。结论采用先高位结扎卵巢动、静脉再将扭转的附件复位并将卵巢囊肿核除的方法治疗附件扭转方法简单易行、安全、有效,值得临床尝试。
Objective To explore the clinical features and effects of the method of high ligating the ovarian artery and vein , reversing the twisted adnexaand removing the ovarian cyst as treatment for adnexal torsion. Methods Between March 2005 and November 2010 in 202 Military Hospital of China,43 patients with ovarian torsion,who had undergone the above-mentioned surgery, were analyzed. Results It was 4 - 96h intervals from the onset to surgery of the disease. The morbidity was low after the surgery . The ovarian blood flow in patients was rich after 3 - 7d and gradually became normal after 15d. Dominant follicle could be seen in ipsilateral ovarian within 1 -3 months. 5 patients were successfully pregnant. Conclusion the method of high ligation of the ovarian artery and vein and then reversing the twisted adnexa, and removing the ovarian cyst as treatment for adnexal torsion is simple, safe, effective, and worthy of try.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2011年第9期701-702,共2页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
卵巢
附件扭转
ovarian
adnexal torsion
