青少年附件扭转保留卵巢的临床评价

Clinical evaluation of ovarian retention in adolescent adnexal torsion

目的探讨青少年附件扭转保守性手术后的卵巢功能及安全性。方法对36个扭转“变黑”的卵巢实施保守性手术,术后观察月经及并发症,并于3~6个月超声监测卵巢大小及卵泡。结果保留的卵巢90%有功能,无血栓栓塞、感染、发热及腹痛等。结论扭转后卵巢“变黑”,仍然可以实施保守性手术,无明显并发症。

Objective To investigate the ovarian function and safety of adolescent patients with adnexal torsion after conservative surgery.Methods 36 ovaries with"black"torsion were operated conservatively surgery,menstrual period and complications were observed,and the size of ovaries and ovarian follicle were monitored by ultrasound at 3-6 months after surgery.Results 90%of the retained ovaries were functional and free of thromboembolism,infection,fever and abdominal pain ect.Conclusion Conservative operation can still be performed after the ovary"turns black"with no obvious complications.