The Diagnosis and Treatment of 64 Children with Ovarian Torsion

VernacularTitle:儿童卵巢扭转64例诊治体会
Author: Hong YANG ; Liang DONG ; Ying DONG ; Hualei CUI
Publication Type:Journal Article
Keywords: ovarian diseasex; ovarian cysts; teratoma; laparoscopy; child; ovarian torsion
From: Tianjin Medical Journal 2014;(2):186-187
CountryChina
Language:Chinese
Abstract: Objective To evaluate the clinical features and key points in treatment of ovarian torsion in children. Methods The clinical data of 64 children with ovarian torsion, hospitalized in our hospital from January 2005 to October 2012, were analyzed retrospectively. The clinical manifestations in children of all ages were summarized. The anal examina-tion, B ultrasound examination, CT examination were used for the early diagnosis of ovarian torsion. All children were per-formed laparoscopic surgical exploration. All children were found the typical lower abdominal cramps. The B ultrasound and CT examination showed non-homogeneous mass in pelvic, which suggested the early diagnosis of ovarian torsion. The detec-tion rate of anal examination reached 70.3%(45/64). Results All patients were performed laparoscopic surgical explora-tion. Five patients were treated with ovariectomy. The rest were treated conservatively. The postoperative follow-up was good. Conclusion Ovarian torsion in children was likely to be misdiagnosed. Doppler, CT, anal examination and laparo-scopic operation were important for the early diagnosis and treatment of ovarian torsion.