国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2016, Vol. 35 ›› Issue (4): 276-277.

• 论著 • 上一篇    下一篇

体外受精后卵巢扭转14例临床分析

姜蕾，徐素欣，郝桂敏   

  1. 050000 石家庄，河北医科大学第二医院生殖医学科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2016-07-15 发布日期:2020-12-07

14 Cases of Ovarian Torsion after in vitro Fertilization

JIANG Lei，XU Su-xin，HAO Gui-min   

  1. Department of Reproductive Medicine，The Second Hospital of Hebei Medical University，Shijiazhuang 050000，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2016-07-15 Online:2020-12-07

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摘要： 目的：探讨体外受精后卵巢扭转的临床特点并结合阴道超声进行早期诊断，为临床工作提供一些参考。方法：回顾性分析2012年1月—2014年12月于河北医科大学第二医院生殖医学科实施体外受精后发生卵巢扭转的14例患者资料。结果：14例发生卵巢扭转患者中，6例行经阴道双合诊手法复位，8例行腹腔镜手术，其中4例行患侧附件切除术，1例因双侧卵巢扭转行一侧卵巢切除及对侧卵巢复位术，另3例行手术复位术。14例患者中9例妊娠，其中8例活产，1例早期流产。结论：结合卵巢扭转的临床表现和体征，超声检查是卵巢扭转早期诊断的有效方法；早期诊断，试行经阴道双合诊手法复位可降低手术率。

关键词: 卵巢疾病, 异常扭转, 受精, 体外, 腹腔镜, 病例报告

Abstract: Objective: To analyze the clinical characteristics of ovarian torsion and the early diagnosis by transvaginal sonography in those women who received in vitro fertilization （ＩＶＦ） ｔｒeatment, so as to provide a practical reference for clinical work. Methods：Data of 14 cases of ovarian torsion who received IVF treatment were retrospectively analyzed, from Jan. 2012 to Dec. 2014 in our department. Results：In 14 cases, six cases were treated successfully by bimanual reduction; and 8 cases by laparoscopic surgery, including 4 cases by ipsilateral adnexectomy, 1 case of bilateral ovarian torsion by the ipsilateral adnexectomy and the contralateral ovary reset, and 3 cases by diseased ovary reset. There were 9 cases who had successful pregnancy including 8 live births and 1 early abortion. Conclusions：Combined with the clinical manifestations and signs of ovarian torsion, ultrasound examination is an effective method for the early diagnosis of ovarian torsion. The transvaginal bimanual reset after early diagnosis can effectively decrease the rate of surgery.

Key words: Ovarian diseases, Torsion abnormality, Fertilization in vitro, Laparoscopes, Case reports