https://respubjournals.com/medical-research-surgery/Adnexal-Torsion-in-the-Second-Trimester-of-Pregnancy-A-Case-Report-and-Review-of-the-Literature.php

Tatjana Barišić, Anđela Azinović
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引用次数: 0

摘要

妊娠期急腹症是当今诊断和治疗方面最大的挑战之一。尽管医疗技术在不断进步,但术前对急腹症的诊断仍然不准确。附件扭转是指附件完全或部分旋转,导致卵巢静脉和淋巴回流受阻,是一种常见的妇科急症。附件撕裂同时影响卵巢和输卵管,很少只影响其中一个。附件扭转在妊娠头三个月和第二个月早期比在妊娠第三个月更常发生。在晚期妊娠中很难诊断,因为急腹症的症状和体征没有特异性,而且子宫增大导致超声检查受限,使诊断复杂化。晚期诊断和延迟手术治疗会导致卵巢功能丧失和胎儿濒危。在妊娠期的第一次超声波检查中对附件进行全面评估并对观察到的形态进行监测非常重要。
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https://respubjournals.com/medical-research-surgery/Adnexal-Torsion-in-the-Second-Trimester-of-Pregnancy-A-Case-Report-and-Review-of-the-Literature.php
Acute abdomen in pregnancy is one of the biggest diagnostic and therapeutic challenges today. Despite advances in medical technology, the preoperative diagnosis of acute abdominal conditions is still inaccurate. Torsion of the adnexa, which refers to complete or partial rotation of the adnexa, resulting in obstruction of venous and lymphatic reflux in the ovary, is a common gynecological emergency. Torn adnexa affect both the ovary and the fallopian tube, and rarely affect only one of them. Adnexal torsion occurs more frequently in the first and early second trimester than in the third trimester. It is difficult to diagnose in advanced pregnancy because of nonspecific symptoms and signs of acute abdomen as well as ultrasound limitations due to uterine enlargement complicate diagnosis. Late diagnosis and delayed surgical treatment result in ovarian loss and fetal endangerment. It is important to thoroughly evaluate the adnexa at the 1st ultrasound examination in pregnancy and to monitor the observed formations.
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