血管蒂内血流信号超声分级联合腹痛激发-手术时间在卵巢蒂扭转时的临床意义

发布时间：2018-01-15 16:29

  本文关键词：血管蒂内血流信号超声分级联合腹痛激发-手术时间在卵巢蒂扭转时的临床意义　出处：《中国超声医学杂志》2017年05期 　论文类型：期刊论文

  更多相关文章： 卵巢蒂扭转 多普勒超声 血流信号分级 腹痛激发-手术时间 卵巢活性

【摘要】：目的通过彩色多普勒超声对卵巢蒂扭转(OT)时血管蒂内的血流信号进行分级,联合腹痛激发-手术时间为OT时临床治疗方案的选择提供科学依据。方法回顾性分析31例因卵巢良性肿物蒂扭转在我院行腹腔镜(开腹)手术证实者,所有患者均于术前行经阴道(直肠)和(或)经腹超声检查,根据蒂内血流信号特征进行分级。记录腹痛激发-手术时间。结果血流信号Ⅰ级8例、Ⅱ级10例、Ⅲ级13例,卵巢存活率分别为100%、80%、30.8%。统计结果显示血流信号Ⅱ、Ⅲ级者卵巢存活率间存在差异,腹痛激发-手术时间是卵巢活性的影响因素之一。结论卵巢肿物蒂扭转时术中卵巢及肿物颜色不代表卵巢活性,所有扭转者均应先行复位;血流信号Ⅰ级者卵巢均存活,可根据患者情况择期手术,Ⅱ、Ⅲ级者卵巢活性与腹痛激发-手术时间有关,应行急诊手术,为挽救卵巢争取时机。
[Abstract]:Objective to grade the blood flow signal in the blood vessel during the ovarian pedicle torsion by color Doppler ultrasound (CDFI). The combination of abdominal pain stimulation and operation time provided scientific basis for the choice of clinical treatment in OT. Methods 31 cases of ovarian benign tumor pedicle torsion confirmed by laparoscopic (open) operation in our hospital were retrospectively analyzed. All the patients underwent transvaginal (rectal) and / or transabdominal sonography before operation. According to the characteristics of blood flow signal in Tini, the time of abdominal pain stimulation and operation was recorded. Results the blood flow signal was grade 鈪，

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