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目的探讨小儿急诊输卵管卵巢扭转的临床特征及治疗方案。方法回顾性分析沧州市中心医院1992-01-2008-11 16例输卵管卵巢扭转患儿的临床资料。结果所有患儿均行手术治疗,其中4例患儿行腹腔镜手术,12例行开腹手术,卵巢复位术7例,单纯切除术9例,两组患儿术后均恢复良好,未出现复发。对侧未再发生卵巢扭转。结论急性输卵管卵巢扭转为小儿外科急症,应谨慎选择术式。如卵巢未坏死,应尽量选择卵巢复位术,从而最大程度保护卵巢功能,对于儿童正常生长发育有重大意义。
Objective To investigate the clinical features and treatment of tubal ovarian torsion in pediatric emergency department. Methods The clinical data of 16 children with tubal ovarian torsion in Central Hospital of Cangzhou from January 1992 to August 2008 were retrospectively analyzed. Results All children underwent surgery. Among them, 4 patients underwent laparoscopic surgery, 12 underwent laparotomy, 7 underwent ovarian resection and 9 underwent simple resection. Both of the two groups recovered well and did not appear after operation relapse. No contralateral ovarian torsion occurred. Conclusions Acute oviduct ovarian torsion is a surgical emergency for pediatric patients. Surgery should be carefully chosen. If the ovary is not necrosis, ovarian reduction should be chosen as much as possible to maximize the protection of ovarian function, for children with normal growth and development of great significance.