卵巢扭转的诊断及治疗进展

Progress in the diagnosis and therapy of ovarian torsion

卵巢扭转(OT)发生于任何年龄的患者,最常见于育龄期及妊娠期,严重并发症包括卵巢功能丧失、腹膜炎甚至死亡,早期诊断及正确治疗尤为重要。彩色多普勒超声作为首选的检查,可以判断卵巢的血供,但目前尚无可靠的检查手段能够术前或术中判断卵巢扭转后的活性,用以指导手术方式的选择。本文对卵巢扭转的危险因素、临床表现、检查方法及治疗进行综述。

Ovarian torsion(OT)occurs in patients at any age,most commonly in women of childbearing age and gestation period.Severe complications of OT include loss of ovarian function,peritonitis,and even death,so early diagnosis and proper treatment are especially important.Color Doppler ultrasonography as the preferred method of examination can assess the blood supply of the ovary.However,there is currently no reliable examination method that can be used to determine the ovarian viability before or during operation to guide the selection of surgical approaches.This article reviews the risk factors,clinical manifestations,examination methods and treatment of OT.