| 妊娠期发生附件扭转的高危因素及早期诊断研究 |
| 投稿时间：2017-01-19 修订日期：2017-04-18 点此下载全文 |
| 引用本文：张欣欣,林凤,郑飞云.妊娠期发生附件扭转的高危因素及早期诊断研究[J].医学研究杂志,2018,47(6):135-138 |
| DOI：
10.11969/j.issn.1673-548X.2018.06.031 |
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| 中文摘要:目的 探讨妊娠期发生附件扭转的高危因素、临床特征，为早期诊断妊娠期附件扭转提供依据。方法 回顾性分析2006年5月~2016年8月间温州医科大学附属第一医院收治的经手术证实为妊娠合并附件囊肿发生附件扭转（扭转组）的患者40例及同期收治的94例妊娠合并附件囊肿未扭转的患者（对照组）的临床病例资料。比较两组资料的高危因素、临床特征。结果 附件扭转好发于孕周6~14周；扭转组患者中，附件囊肿直径为5~10cm的比例较对照组明显升高（P<0.05）；扭转组患者中，接受辅助生殖技术后并发卵巢过度刺激综合征的比例较对照组明显升高（P<0.05）；血清白细胞数、中性粒比值、B超提示卵巢血流信号异常比例较对照组明显升高（P<0.05）。结论 妊娠期合并附件囊肿患者，孕周6~14周、囊肿直径于5~10cm之间、卵巢过度刺激综合征是妊娠期发生附件扭转的高危因素。具有以上高危因素的妊娠合并附件囊肿患者应得到及时处理。联合检测血清白细胞数、中性粒比值、B超有助早期诊断妊娠期附件扭转。 |
| 中文关键词:妊娠期 附件扭转 高危因素 早期诊断 |
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| Study of Risk Factors and Early Diagnosis of Adnexal Torsion |
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| Abstract:Objective To analysis the risk factors, clinical manifestations of adnexal torsion(AT) during pregnancy, providing evidence for the early diagnosis of AT in pregnancy. Methods Retrospective data were collected from 40 women who underwent surgery for AT during pregnancy between May 2006 and August 2016 at the first affiliated hospital of Wenzhou Medical University. In addition, 94 women diagnosed with non-torsion adnexal during pregnancy were chosen to serve as control subjects. The risk factors and clinical characteristics of the two groups were compared. Results AT during pregnancy were likely to occurring within the 6th and 14th week of gestation.The rate of the adnexal masses with sizes between 5 and 8cm was significantly higher in torsion group(P<0.05). The rate of ovarian hyperstimulation syndrome(OHSS) was shown to be obviously elevated in the torsion group(P<0.05).The white blood cell counts, neutrophil ratio, the rate of lacking of intra-adnexal blood flow on color Doppler imaging were significantly elevated in torsion group(P<0.05). Conclusion The risk factors of AT during pregnancy may be occured within the 6th and 14th week of gestation, cyst sizes between 5 and 8cm and combined with OHSS. Adnexal tumors bearing higher risks for torsion and should be strongly considered for an aggressive strategy of management during pregnancy. Moreover, the combined detection of the white blood cell counts and neutrophil ratio as well as doppler imaging can contribute to the early diagnosis of AT during pregnancy. |
| keywords:Pregnancy Adnexal torsion Risk factors Early diagnosis |
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