Ovarian torsion in children: Management and outcomes
Ovarian torsion in children: Management and outcomes
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DOI：
10.1016/j.jpedsurg.2013.04.026
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发表时间：
2013-09-01
影响因子：
2.4
通讯作者：
Trainavicius, Kestutis
中科院分区：
文献类型：
--
作者：
Geimanaite, Lina;Trainavicius, Kestutis
背景资料：方法：回顾性分析1989年1月至2012年3月收治的50例53例卵巢扭转患儿的临床资料，分析其临床表现、诊断、治疗及预后。结果：22例卵巢摘除，31例扭转解除，卵巢留在腹腔内。其中25个卵巢呈黑蓝色，10个呈蓝色。自2005年以来，在首选治疗方法发生变化后，所有经复位治疗的卵巢均留在腹腔内。对20例女孩进行了临床和超声观察。17例女孩为多卵泡卵巢。一个女孩有一个正常大小的少卵泡卵巢，一个一岁的女孩有一个正常大小的卵巢与微卵泡，和一个女孩没有卵巢材料检测到的超声波。结论：卵巢扭转的治疗的长期分析表明，卵巢治疗的扭转和留在腹腔保存了正常的解剖结构和功能。保守手术治疗被证明是安全的。所有女孩均未发生血栓栓塞或腹膜炎，手术卵巢中未发现恶性肿瘤。(C)2013 Elsevier Inc. All rights reserved.
Background: The purpose of this study is to evaluate the clinical symptoms, diagnosis, management, and outcomes in children with ovarian torsion.Methods: The charts of 50 patients with 53 cases of ovarian torsion treated between January 1989 and March 2012 were reviewed retrospectively. Long term follow up was available for 20 girls who had their ovaries left in the abdominal cavity after detorsion.Results: In 22 cases ovaries were removed, and in 31 cases the torsion was relieved and the ovaries left in the abdominal cavity. Twenty-five of the salvaged ovaries were black-bluish and 10 bluish in color. Since 2005, after a change in preferred treatment, all ovaries treated by detorsion were left in the abdominal cavity. The long term results were observed clinically and by ultrasound in 20 girls. Multifollicular ovaries were found in 17 girls. One girl had a normal size paucifollicular ovary, a one-year-old girl had a normal size ovary with microfollicles, and one girl had no ovarian material detectable by ultrasound.Conclusions: Long term analysis of the treatment of ovarian torsion revealed that ovaries treated by detorsion and left in the abdominal cavity preserved their normal anatomy and function. Conservative surgical treatment proved to be safe. None of the girls had thromboembolism or peritonitis, and no malignant tumors were found in the operated ovaries. (C) 2013 Elsevier Inc. All rights reserved.