目的探讨卵巢囊肿蒂扭转的诊断要点及治疗措施。方法回顾性分析我院2001年1月至2010年1月30例卵巢囊肿蒂扭转患者的临床资料。结果 30例患者中,年龄13～67岁,平均26.5岁;均有下腹痛病史,其中22例(73.3%)为急性腹痛;23例(76.7%)有恶心、呕吐;均有触痛。术前明确诊断24例,拟诊5例,误诊1例。30例均为一侧,全部手术治疗,其中21例行患侧附件切除术,7例行囊肿剔除术,2例同时行子宫切除术,均无手术并发症发生。结论应及早明确诊断,不失时机地选择手术治疗。早期诊断,是决定治疗及预后的关键,对于保留年轻患者的卵巢功能、减少术后并发症至关重要。 Objective To investigate the diagnosis of ovarian cyst torsion points and treatment measures. Methods The clinical data of 30 patients with ovarian cyst torsion in our hospital from January 2001 to January 2010 were retrospectively analyzed. Results Among the 30 patients, the age ranged from 13 to 67 years, with an average of 26.5 years. All had lower abdominal pain history. Among them, 22 (73.3%) had acute abdominal pain and 23 (76.7%) had nausea and vomiting. Preoperative clear diagnosis of 24 cases, 5 cases were diagnosed, misdiagnosis in 1 case. All the 30 cases were treated by one side and all surgeries. Among them, 21 cases had ipsilateral appendages resection, 7 cases cyst excision, 2 cases simultaneous hysterectomy, and no complications occurred. Conclusions should be as early as a clear diagnosis, seize the opportunity to choose surgical treatment. Early diagnosis is the key to decide the treatment and prognosis, which is very important for preserving the ovarian function of young patients and reducing the postoperative complications.