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目的探讨卵巢囊肿并蒂扭转患者的临床病理特点及处理方法。方法回顾性分析我院2004年1月～2007年12月3年间卵巢囊肿并蒂扭转患者的临床特点及病理组成。结果 17例患者年龄最小12岁,最大72岁,平均37岁。发现卵巢囊肿时间最长5年,最短5 h。均有不同程度的下腹痛,其中7例并发呕吐。均行急诊手术。其中开腹13例,腹腔镜4例。手术方式:13例患者因扭转时间较长,行单纯附件切除术,3例患者行卵巢囊肿剥除术,1例绝经后患者行子宫加双侧附件切除术。术后病检病理组成:卵巢子宫内膜异位囊肿5例,成熟型囊性畸胎瘤3例,浆掖性囊肿2例,黏液性囊肿1例,单纯性囊肿6例。术后随访3例行囊肿剥除的患者,卵巢恢复良好,无一例血栓形成。结论卵巢囊肿并蒂扭转是妇科最常见的急腹症,良性肿瘤多见,对于生育年龄患者根据扭转时间及包块性质,可以选择保留卵巢皮质的保守性手术。
Objective To investigate the clinicopathological characteristics and treatment of ovarian cyst in patients with torsion. Methods A retrospective analysis of our hospital from January 2004 to December 2007 3 years of ovarian cyst in patients with clinical features and pathological changes. Results The 17 patients were the youngest 12 years old, the oldest was 72 years old, with an average of 37 years old. Found that ovarian cysts up to 5 years, the shortest 5 h. There are different degrees of lower abdominal pain, of which 7 cases of vomiting. All emergency surgery. Among them, 13 cases were laparotomy and 4 cases were laparoscopy. Surgical methods: 13 patients due to a longer time to turn, simple attachment excision, 3 patients underwent ovarian cyst excision, 1 case of postmenopausal patients with hysterectomy and bilateral attachment resection. Pathological examination postoperative pathology: ovarian endometriosis 5 cases of cysts, 3 cases of mature cystic teratoma, plasma tibia cysts in 2 cases, 1 cases of mucinous cysts, 6 cases of simple cysts. Follow-up 3 patients underwent cyst removal, ovarian recovery was good, no case of thrombosis. Conclusion Ovarian cyst pedicle torsion is the most common gynecological acute abdomen, benign tumors more common, for patients of childbearing age according to the time and mass of the mass, you can choose to retain the conservative operation of the ovarian cortex.