妊娠中期合并输卵管扭转一例并文献复习

doi:10.12280/gjfckx.20211054

国际妇产科学杂志 ›› 2022, Vol. 49 ›› Issue (4): 449-451.doi: 10.12280/gjfckx.20211054

• 产科生理及产科疾病:病例报告 • 上一篇下一篇

妊娠中期合并输卵管扭转一例并文献复习

余荣凤, 杨永秀()

730000 兰州大学第一临床医学院（余荣凤）;兰州大学第一医院妇产科（杨永秀）

收稿日期:2021-11-15 出版日期:2022-08-15 发布日期:2022-08-19
通讯作者: 杨永秀 E-mail:yongxiuyang@163.com

Isolated Torsion of Follpian Tube in the Second Trimester of Pregnancy: A Case Report and Literature Review

YU Rong-feng, YANG Yong-xiu()

The First School of Clinical Medical College of Lanzhou University, Lanzhou 730000, China (YU Rong-feng);Department of Obstetrics and Gynecology, The First Hospital of Lanzhou University, Lanzhou 730000, China (YANG Yong-xiu)

Received:2021-11-15 Published:2022-08-15 Online:2022-08-19
Contact: YANG Yong-xiu E-mail:yongxiuyang@163.com

摘要/Abstract

摘要：

输卵管扭转是指输卵管以其自身轴线旋转,不伴有同侧卵巢扭转的一种罕见的妇科急腹症。据报道输卵管扭转发病率为1/150万,其中约12%发生在妊娠期。输卵管扭转的诊断非常困难,其临床表现通常是非特异性的,鉴别诊断范围广泛,易误诊,多项研究表明磁共振成像比B超的诊断准确率更高。手术是输卵管扭转的标准诊断及治疗方法,手术方式的选择对医务人员也是一个挑战。通过报告兰州大学第一医院收治的1例妊娠中期合并输卵管扭转坏死病例情况,及回顾文献资料,加深对该疾病的认识,进而提高诊治能力。

关键词: 输卵管疾病, 异常扭转, 妊娠中期, 诊断, 治疗

Abstract:

Tube torsion refers to a gynecological acute abdominal disease, in which the fallopian tube rotates on its own axis without ipsilateral ovarian torsion. The incidence is reported to be 1/1 500 000, of which about 12% occurs during pregnancy. The diagnosis of tubal torsion is very difficult, and its clinical symptoms are not typical, with a wide range of differential diagnosis and easy to be misdiagnosed. A number of studies have shown that MRI has a higher diagnostic accuracy than ultrasound. Surgery is the standard diagnosis and therapy of tubal torsion, and the choice of surgical method is also a challenge for medical personnel. A case of second trimester complicated with tubal torsion necrosis admitted to the First Hospital of Lanzhou University is reported as follows. By reviewing the literature, we can deepen the understanding of the disease and improve the ability of diagnosis and treatment.

Key words: Fallopian tube diseases, Torsion abnormality, Pregnancy trimester, second, Diagnosis, Therapy

余荣凤, 杨永秀. 妊娠中期合并输卵管扭转一例并文献复习[J]. 国际妇产科学杂志, 2022, 49(4): 449-451.

YU Rong-feng, YANG Yong-xiu. Isolated Torsion of Follpian Tube in the Second Trimester of Pregnancy: A Case Report and Literature Review[J]. Journal of International Obstetrics and Gynecology, 2022, 49(4): 449-451.

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妊娠中期合并输卵管扭转一例并文献复习

Isolated Torsion of Follpian Tube in the Second Trimester of Pregnancy: A Case Report and Literature Review

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