在生殖年龄妇女正常卵巢中的卵巢扭曲
Bushra Zaman Bandhon1, Vinita Rajadurai1, Cherynne Johansson1
1Obstetrics and Gynaecology Department, Liverpool Hospital, Sydney, New South Wales, Australia.
Case reports in obstetrics and gynecology
|September 11, 2025
概括
卵巢扭曲可以发生在正常的卵巢中,即使成像是不确定的. 迅速的手术干预对于在生育年龄的妇女中保持卵巢功能和生育能力至关重要.
科学领域:
- 妇科 妇科医生 妇科
- 紧急医疗 紧急医疗
- 手术病例报告 手术病例报告
背景情况:
- 卵巢扭曲是一种关键的妇科紧急情况,涉及卵巢旋转,可能导致亡.
- 虽然经常与卵巢扩大有关,但正常卵巢的扭曲,特别是在生殖年龄的女性中,记录较少.
- 这种情况需要及时诊断和干预,以保持卵巢活力和生育能力.
研究的目的:
- 在生育年龄妇女的正常卵巢中发生的两个不同的卵巢扭曲病例.
- 要突出与这种情况相关的诊断挑战和管理复杂性.
- 强调高临床怀疑和及时手术干预对最佳结果的重要性.
主要方法:
- 案例报告分析了两名在生育年龄的妇女,她们出现了急性腹痛,暗示卵巢扭曲.
- 诊断工作包括超声波和多普勒研究.
- 在这两种情况下,都进行了通过腹腔镜进行手术确认和干预.
主要成果:
- 案例1:一名19岁的女性在正常的卵巢中经历了扭曲,通过腹腔镜成功治疗了扭曲.
- 案例2:一个40岁的女性经历了卵巢切除术,原因是扭曲后的卵巢不活跃,尽管最初的成像担忧.
- 超声波和多普勒检测结果在诊断正常卵巢扭曲时并不总是可靠.
结论:
- 腹腔镜是卵巢扭曲的最终诊断和治疗方法,特别是在成像是模两可的情况下.
- 无论成像结果如何,在患有急性疼痛的生殖年龄妇女中,保持对卵巢扭曲的高度怀疑指数至关重要.
- 早期的手术干预对于挽救卵巢和保持生育能力至关重要.
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