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本文对我院1981年4月~1994年4月收治的71例卵巢肿瘤蒂扭转进行分析,发现卵巢肿瘤蒂扭转多发生于生育年龄的妇女,与卵巢肿瘤的好发年龄一致。与肿瘤的大小、瘤蒂的长度、肿瘤的组织类型、合并妊娠及体位急剧改变等有关。典型的临床表现为突发性剧烈腹痛(55例,占77.46%)伴恶心、呕吐(31例,占43.66%),局限性腹部压痛及包块触痛(62例,占87.32%)。病程越长,发生粘连、破裂、出血、坏死和感染的可能性越大。误诊原因主要是症状和体征不明显,最常见的误诊为卵巢肿瘤而未诊断合并蒂扭转,其次为阑尾炎。一旦确诊应立即手术,以免引起严重的后果。
This article from April 1981 to April 1994 in our hospital 71 cases of ovarian tumors treated with torsion were analyzed and found that torsion of ovarian tumors more occurred in women of childbearing age, and the age of onset of ovarian cancer consistent. And the size of the tumor, tumor pedicle length, tumor type of organization, merger pregnancy and rapid change in body position and so on. Typical clinical manifestations of sudden severe abdominal pain (55 cases, accounting for 77.46%) with nausea and vomiting (31 cases, accounting for 43.66%), localized abdominal tenderness and mass tenderness (62 cases, accounting for 87 .32%). The longer the duration, the greater the possibility of adhesion, rupture, bleeding, necrosis and infection. The main cause of misdiagnosis is obvious symptoms and signs, the most common misdiagnosed as ovarian cancer without diagnosis of torsion combined with the second, followed by appendicitis. Once the diagnosis should be immediate surgery, so as not to cause serious consequences.