摘要
目的探讨输卵管扭转的临床特点及治疗方法。方法回顾性分析2010年1月~2018年12月我院19例输卵管扭转的临床特征及诊治情况。结果15例腹腔镜手术探查,4例开腹探查。术中见患侧输卵管扭转或系膜囊肿伴随输卵管扭转,无卵巢扭转发生,11例右侧输卵管扭转,8例左侧输卵管扭转。4例扭转360°,1例扭转540°,11例扭转720°,2例扭转1080°,1例扭转1440°。14例发生患侧输卵管坏死。术后病理:12例输卵管系膜囊肿,6例输卵管积水,1例浆液性囊腺瘤。结论输卵管扭转的临床症状、体征及辅助检查无特异性,术前容易误诊。输卵管系膜囊肿和输卵管积水是输卵管扭转的高危因素,治疗应综合患者年龄、病史、生育情况等选择合适的手术方式。有生育要求的育龄女性合并输卵管积水同时腹痛应考虑本病。
Objective To investigate clinical characteristics and surgical treatment of fallopian tube torsion.Methods We retrospectively analyzed clinical characteristics,diagnosis and surgical treatment of 19 cases of tubal torsion,who were treated in our hospital from 2010 January to 2018 December.Results There were 15 cases of laparoscopic exploration and 4 cases of open surgical exploration.During the operation,tubal torsion or mesangial cyst accompanied by tubal torsion were found on the affected side,and no ovarian torsion occurred.There were 11 cases of right tubal torsion and 8 cases of left tubal torsion.Four cases twisted 360 degrees,1 case 540 degrees,11 cases 720 degrees,2 cases 1080 degrees,and 1 case 1440 degrees.A total of 14 cases suffered from tubal necrosis on the affected side.Postoperative pathological outcomes showed 12 cases of mesosalpingeal cysts,6 cases of hydrosalpinx,and 1 case of mucinous cystadenoma.Conclusions The clinical symptoms,signs and auxiliary examinations of fallopian tube torsion are not specific,so peoperative misdiagnosis is high.Mesosalpingeal cyst and hydrosalpinx are high risk factors for fallopian tube torsion,and appropriate surgical methods should be selected according to patient’s age,medical history and fertility.Fallopian tube torsion should be considered in women at childbearing age with hydrosalpinx and abdominal pain.
作者
张红霞
金娅
杨蕊
贺豪杰
宋雪凌
马彩虹
李蓉
乔杰
Zhang Hongxia;Jin Ya;Yang Rui(Center of Reproductive Medicine,Peking University Third Hospital,Beijing 100191,China)
出处
《中国微创外科杂志》
CSCD
北大核心
2019年第8期696-698,共3页
Chinese Journal of Minimally Invasive Surgery
基金
国家自然科学基金(81501324)
