摘要
目的探讨绝经后卵巢肿瘤蒂扭转的临床特点及诊疗方法。方法回顾性分析1996年12月—2010年4月河北医科大学第二医院收治的15例绝经后卵巢肿瘤蒂扭转患者的临床资料。结果 15例绝经后卵巢肿瘤蒂扭转患者中,全部有下腹部疼痛史,B超检查均提示卵巢/宫旁包块。术前未能明确诊断3例(20%)。15例患者均行手术治疗,其中6例行患侧附件切除术,9例行全子宫及双附件切除术。结论超声是诊断卵巢肿瘤蒂扭转的重要方法。老年患者的临床症状及体征不典型,易发生误诊,临床医生应予以高度重视。
Objective The aim of the study was to analyze the clinical feature, diagnosis and treatment of torsion of ovarian tumor in postmenopausal women. Methods From December 1996 to April 2010, the clinical data of 15 postmenopausal patients with torsion of ovarian tumor in the Second Hospital of HeBei Medical University were analyzed retrospectively. Results All of the 15 patients had history of pain in bythus. All of them received transvaginal ultrasound which provided a high diagnostic accuracy. The misdiagnosis happened in 3 patients （20%）. Fifteen patients received surgical treatment, 6 of them underwent adnexectomy on the involved side, the other 9 underwent hysterectomy and bilateral adnexectomy. Conclusion The transvaginal ultrasound plays an important role in diagnosing postmenopausal women with torsion of ovarian tumor. Doctors should pay more attention to the diagnosis of elderly patients with torsion of ovarian tumor.
出处
《河北医科大学学报》
CAS
2010年第10期1190-1191,共2页
Journal of Hebei Medical University
关键词
卵巢肿瘤
扭转
绝经期
ovarian neoplasms
torsion
menopause
