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目的探讨青春期少女子宫附件扭转腹腔镜诊断治疗应用体会。方法选择2010年1月~2014年2月子宫附件扭转青春期少女31例,年龄9~19岁,平均年龄16岁。因急性腹痛入院。总结其腹腔镜诊治体会。结果单纯输卵管扭转7例,卵巢肿物扭转伴输卵管扭转15例,卵巢肿物扭转9例;31例手术均在腹腔镜下完成。结论青春期少女卵巢输卵管扭转临床症状不典型,易延误治疗。腹腔镜作为微创手术,在诊断同时完成相应的手术治疗,临床疗效好。
Objective To investigate the application of reverse laparoscopic diagnosis and treatment of adolescent girls uterine attachment. Methods From January 2010 to February 2014, 31 cases of adolescent girls with uterus attachment were repaired, aged from 9 to 19 years with an average age of 16 years. Acute abdominal pain admitted. Summary of their laparoscopic diagnosis and treatment experience. Results Simple tubal torsion in 7 cases, ovarian torsion with tubal torsion in 15 cases, ovarian tumor in 9 cases reversed; 31 cases were performed in laparoscopic surgery. Conclusion Adolescent girls ovarian tubal reverse clinical symptoms are not typical, easy to delay treatment. As a minimally invasive laparoscopic surgery, the diagnosis of the same time to complete the corresponding surgical treatment, clinical efficacy is good.