儿科卵巢扭曲 儿科卵巢扭曲
1Division of Gynecology, Department of Obstetrics and Gynecology, Pediatric and Adolescent Gynecology Section, Michigan Medicine, 1500 East Medical Center Drive, Ann Arbor, MI 48104, United States.
Seminars in pediatric surgery
|September 28, 2025
概括
儿童的卵巢扭曲是罕见的,但需要及时诊断和治疗,以防止卵巢损伤. 手术扭曲和卵巢保存导致恢复率高,并保持生育能力.
科学领域:
- 儿科外科手术 儿科外科手术
- 妇科瘤学 妇科瘤学
- 紧急医疗 紧急医疗
背景情况:
- 卵巢扭曲在儿科中不常见,但如果诊断延迟,可能会导致不可逆转的卵巢损伤.
- 模糊和可变的临床表现需要高的怀疑指数才能准确诊断.
研究的目的:
- 强调儿童卵巢扭曲的早期识别和及时干预的重要性.
- 突出卵巢保护在保护生育能力方面的有效性.
主要方法:
- 对儿科卵巢扭曲的临床表现和诊断挑战的审查.
- 强调使用彩色多普勒的盆腔超声波作为诊断辅助,同时承认其局限性.
- 讨论扭曲与卵巢保护作为治疗的黄金标准.
主要成果:
- 延迟诊断可能导致卵巢缺血和亡.
- 即使是死角的卵巢在扭曲后也具有很高的恢复率和功能.
- 卵巢的保存对于长期的功能和生育能力至关重要.
结论:
- 早期识别和迅速的手术干预对于儿科卵巢扭曲的最佳结果至关重要.
- 扭曲与卵巢保护是首选的管理策略,即使在明显亡的情况下.
- 保持卵巢功能对于维持儿科患者的生育能力至关重要.
相关概念视频
Oogenesis
69.1K
In human women, oogenesis produces one mature egg cell or ovum for every precursor cell that enters meiosis. This process differs in two unique ways from the equivalent procedure of spermatogenesis in males. First, meiotic divisions during oogenesis are asymmetric, meaning that a large oocyte (containing most of the cytoplasm) and minor polar body are produced as a result of meiosis I, and again following meiosis II. Since only oocytes will go on to form embryos if fertilized, this unequal...
69.1K
Ovaries
2.2K
The ovaries are roughly the size of almonds and measure approximately 2 to 3 centimeters in length. These paired structures are situated within the pelvic region and are anchored by the mesovarium—a peritoneal extension that also connects them to the wider structure of the broad ligament. The support system extends to the suspensory ligament, housing blood and lymphatic vessels. In addition, the ovarian ligament tethers the ovaries to the uterus.
On the ovarian surface, a layer of...
On the ovarian surface, a layer of...
2.2K
Ovarian Cycle
3.4K
The menstrual cycle includes a critical component known as the ovarian cycle, which undergoes two main phases each month—the follicular phase and the luteal phase. The follicular phase is variable and averaging around 14 days. Ovulation, triggered by a surge in luteinizing hormone (LH), marks the transition between the two phases. The second phase, the luteal phase, is relatively consistent, lasting approximately 14 days, and is marked by the activity of the corpus luteum. While a cycle...
3.4K


