36例卵巢囊肿蒂扭转保留卵巢手术临床分析及预后影响

Clinical analysis and prognosis of ovarian cyst torsion preserving ovariansurgery in 36 cases

目的探讨卵巢囊肿蒂扭转保留卵巢手术的治疗效果和安全性。方法对2008年2月至2012年2月在本院就诊的36例卵巢囊肿蒂扭转患者采用开腹或腹腔镜下高位结扎卵巢动、静脉,再将扭转的卵巢(或附件)复位并将卵巢囊肿剥除的临床资料进行回顾性分析。结果 36例患者从发病至手术治疗的时间为3～92h,应用上述手术保留卵巢术后病率低,患侧卵巢血流在术后5～8d较丰富,20d月左右接近正常,术后两个月彩超探查患侧卵巢可见优势卵泡,4例患者成功怀孕并分娩。结论行高位结扎卵巢动脉、静脉,将扭转的卵巢(或附件)复位,然后剥除卵巢囊肿的手术方法治疗囊肿蒂扭转是安全可行的,值得临床推广应用。

Objective To investigate the therapeutic effect and safety of the operation of preserving ovarian torsion of ovarian cyst. Methods From 2008 February to 2012 February in our hospital 36 cases of pedicle torsion of ovarian cyst were treated by open or laparoscopic high ligation of ovarian artery,vein,then the torsion of ovarian （ or annex） reset and ovarian cyst clinical data were retrospectively analyzed. Results 36 patients from the onset to operation treatment time is 3 ～ 92 h,the operation preserving ovarian lower postoperative morbidity,ipsilateral ovarian blood flow after 5 to 8 d rich,20 d month close to normal,after two months of CDFI ipsilateral ovarian follicles visible advantage,4 cases of successful pregnancy and delivery. Conclusion the high ligation of ovarian artery,vein,the torsion of the ovary （ or annex） reset,then removal of ovarian cyst operation method in the treatment of cyst torsion is safe and feasible,and it is worthy of clinical application.