腹腔镜下卵巢复位联合卵泡抽吸术治疗促排卵后卵巢扭转的效果

Evaluation of laparoscopic derotation on ovarian torsion after controlled ovarian stimulation

目的探讨腹腔镜下卵巢复位联合卵泡抽吸术治疗促排卵后卵巢扭转患者的临床效果。方法回顾性分析22例促排卵后卵巢扭转患者的临床资料,根据手术方式分成单纯卵巢复位组(对照组)10例和卵巢复位联合卵泡抽吸组(观察组)12例,比较两组基本情况、术中情况、术后临床指标和并发症发生情况。结果两组手术时间、术中出血量、住院时间、术后血栓发生率、流产率差异无统计学意义(P>0.05)。与对照组相比较,观察组术后卵巢体积明显缩小(P<0.05),未发生再次扭转。2例孕中期流产。组1例孕21^(+6)周再次扭转。结论卵巢复位联合卵泡抽吸术术后卵巢恢复更快,不易再次发生扭转,值得临床应用和推广。

Objective To analyze the clinical effect of laparoscopic ovarian derotation and follicular aspiration in the treatment of ovarian torsion after ovulation induction.Methods Retrospective analysis of clinical features of 22 cases of ovarian torsion after ovulation induction was conducted.According to the operation methods,they were divided into two groups,ovarian derotation group(control group,n=10)and ovarian derotation and follicular aspiration group(study group,n=12).The basic conditions,intraoperative conditions,postoperative clinical indexes and complications were compared between the two groups.Results There was no significant difference in operation time,intraoperative bleeding,hospital stay,incidence of postoperative thrombosis and abortion rate between the two groups.Compared with control group,the postoperative ovarian volume in the study group was significantly reduced(P<0.05).No retorsion occurred,2 cases had abortion in the second trimester of pregnancy;and 1 case had retorsion at 21^(+6) weeks of pregnancy in control group.Conclusion Laparoscopic derotation and follicular aspiration can improve ovarian recovery quickly and reduce recurrence,which is worthy of clinical application and promotion.