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中华产科急救电子杂志 ›› 2024, Vol. 13 ›› Issue (04) : 197 -201. doi: 10.3877/cma.j.issn.2095-3259.2024.04.002

妊娠期非产科手术

妊娠期卵巢囊肿蒂扭转的诊断与治疗
胡小靖1, 张华1,()   
  1. 1.400010 重庆医科大学附属第一医院妇产科
  • 收稿日期:2024-06-27 出版日期:2024-11-18
  • 通信作者: 张华

Diagnosis and treatment of ovarian cyst torsion during pregnancy

Xiaojing Hu, Hua Zhang()   

  • Received:2024-06-27 Published:2024-11-18
  • Corresponding author: Hua Zhang
引用本文:

胡小靖, 张华. 妊娠期卵巢囊肿蒂扭转的诊断与治疗[J/OL]. 中华产科急救电子杂志, 2024, 13(04): 197-201.

Xiaojing Hu, Hua Zhang. Diagnosis and treatment of ovarian cyst torsion during pregnancy[J/OL]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2024, 13(04): 197-201.

卵巢囊肿蒂扭转是妊娠期常见急腹症,因妊娠期特殊生理变化致其诊断更加困难。有明确卵巢囊肿病史者结合典型腹痛症状应高度怀疑卵巢囊肿蒂扭转,超声有助于明确诊断并排除其他急腹症。大部分卵巢囊肿蒂扭转需急诊手术,可根据手术方式选择全身麻醉或椎管内麻醉,术中应尽可能保留卵巢,腹腔镜可作为优选手术方式。

Torsion of ovarian cyst is a common emergency during pregnancy,and its diagnosis is more difficult due to special physiological changes during pregnancy.A clear history of ovarian cysts combined with typical abdominal pain symptoms should be highly suspected of ovarian cyst torsion,and ultrasound is paramount importance in differential diagnosis.Most ovarian cyst torsion requires emergency surgery.General anesthesia or intramuscular anesthesia can be selected according to the operation mode.The ovaries should be preserved as much as possible during the operation,and laparoscopy can be used as the preferred surgical option.

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