少女附件扭转的诊断缺陷

• 作 者: Emonts M.newaard H.aal J.F. 张丽娟
• 机 构: Dept. of Gynaecology and Obstetrics, Groene Hart Hospital, Post Box 1098, 2800 BB, Gouda, Netherland
• 出 处: 世界核心医学期刊文摘(妇产科学分册)
• 发表日期: 2005年04期
• 关键词: 少女 缺陷 常规超声检查 显微镜 卵巢 回顾性队列研究 早期诊断 囊肿 腔镜

Objective: Evaluation of cases of young girls diagnosed with adnexal torsion. Study Design: Retrospective cohort study of 39 girls born between January 1980 and January 2000 who presented with acute abdominal pain and/or the diagnosis adnexal torsion in the Groene Hart Hospital. Seven patients, aged 6-13 years, with adnexal torsion were further evaluated. Results: In three patients, it was possible to save the adnexa. Only the time relapse between the onset of complaints and the surgical intervention correlated with the presence of microscopic necrosis in the ovary. Bluishblack appearance of an ovary did not correlate with the presence of microscopic necrosis. Conclusions: Early recognition and treatment are essential to minimise the risk of decreased fertility after adnexal torsion in young girls. We therefore advocate prompt diagnostic laparoscopy and detorsion of the adnexa. In case a cyst is present, it should not be resected, but checked on a regular basis using ultrasound.

Objective: Evaluation of cases of young girls diagnosed with adnexal torsion. Study Design: Retrospective cohort study of 39 girls born between January 1980 and January 2000 who presented with acute abdominal pain and / or the diagnosis adnexal torsion in the Groene Hart Hospital. Seven patients , aged 6-13 years, with adnexal torsion were further as. Results: In three patients, it was possible to save the adnexa. Only the time relapse between the onset of complaints and the surgical intervention correlated with the presence of microscopic necrosis in the Bluishblack appearance of an ovary did not correlate with the presence of microscopic necrosis. Conclusions: Early recognition and treatment are essential to minimise the risk of decreased fertility after adnexal torsion in young girls. We therefore advocate prompt diagnosis laparoscopy and detorsion of the adnexa. In case a cyst is present, it should not be resected, but checked on a regular basis using ultrasound.