妊娠期附件扭转14例临床分析

发布时间：2018-04-09 23:09

本文选题：妊娠　切入点：附件扭转　出处：《现代妇产科进展》2015年04期

【摘要】：目的:探讨妊娠期附件扭转的临床特点、诊断及手术治疗。方法:回顾分析14例妊娠期附件扭转患者的临床资料。结果:14例患者中,行腹腔镜手术者6例,开腹手术者8例;9例行患侧附件切除术,5例行患侧卵巢囊肿剥除术。术后病理报告均为良性疾病,其中卵巢成熟性畸胎瘤4例,卵巢黄体囊肿3例,卵巢单纯性囊肿3例,囊腺瘤2例,输卵管系膜囊肿1例,附件广泛出血淤血、未见明显肿块1例。6例患者足月分娩,新生儿健康。结论:妊娠期附件扭转多为良性囊肿。早期诊断和治疗有利于母儿预后,腹腔镜是诊断和治疗附件扭转的可取方式。对生育年龄,有生育要求的妇女应考虑保留附件的手术。
[Abstract]:Objective: to investigate the clinical features, diagnosis and surgical treatment of accessory torsion in pregnancy.Methods: the clinical data of 14 cases of pregnancy accessory torsion were analyzed retrospectively.Results among 14 patients, 6 cases underwent laparoscopic surgery, and 8 cases underwent laparoscopic surgery. 9 cases underwent appendage excision and 5 cases underwent ovarian cyst excision on the affected side.There were 4 cases of ovarian mature teratoma, 3 cases of ovarian luteal cyst, 3 cases of ovarian simple cyst, 2 cases of cystadenoma, 1 case of Mesangial cyst of fallopian tube, and extensive bleeding and congestion of adnexa.There was no obvious mass in 1 case (6 cases) with term delivery and newborn health.Conclusion: the accessory torsion in pregnancy is mostly benign cyst.Early diagnosis and treatment are beneficial to maternal and fetal prognosis. Laparoscopy is a desirable method for diagnosis and treatment of accessory torsion.For reproductive age, women with fertility requirements should consider surgery that preserves attachments.
【作者单位】：海南省人民医院妇科;南方大学南方医院生殖中心;
【基金】：2015年度海南省自然科学科研课题(No:20158314) 2014年度海南省卫生厅科研课题(No:14A210268)
【分类号】：R714.25

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