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目的探讨卵巢肿瘤蒂扭转的临床诊治措施。方法回顾分析35例患者的临床资料。结果病理检查结果35例中,其中21例为卵巢成熟囊性畸胎瘤,10例为卵巢浆液性囊腺瘤,3例为卵巢粘液性囊腺瘤,1例为卵巢无性细胞瘤。结论对于急性腹痛患者,如妇科及B超检查发现盆腔肿块者,需高度怀疑卵巢肿瘤蒂扭转的可能。妇检时发现附件区包块,应进一步检查,排除了卵巢非赘生性肿瘤后,不论包块大小,均应适时手术,以降低卵巢肿瘤蒂扭转等并发症的发生率。年轻的卵巢肿瘤蒂扭转患者应尽量行保守性手术,不能仅根据卵巢颜色就轻易切除卵巢,至少扭转时间在12h内行保守性手术是安全可行的,对于扭转时间超过12h者,需临床实验才可证实能否保留卵巢。
Objective To investigate the clinical diagnosis and treatment of torsion of ovarian tumors. Methods The clinical data of 35 patients were retrospectively analyzed. Results Among the 35 cases of pathological examination, 21 were ovarian mature cystic teratoma, 10 were ovarian serous cystadenoma, 3 were ovarian mucinous cystadenoma and 1 was ovarian dysgerminoma. Conclusion For patients with acute abdominal pain, such as gynecological and B-ultrasound found pelvic masses, the need to highly suspect the possibility of torsion of ovarian tumors. Prostate mass attachment area mass should be further examined to exclude ovarian non-neoplastic tumors, regardless of the size of the mass, should be timely surgery to reduce the incidence of complications such as torsion of ovarian tumors. Young patients with ovarian tumors Torsion should be conservative surgery, ovarian color can not be easily removed according to the ovaries, at least to reverse the time line 12h conservative surgery is safe and feasible, for more than 12h to reverse the time required clinical trials can Proves that can retain the ovary.