本文關鍵詞：血管蒂內(nèi)血流信號超聲分級聯(lián)合腹痛激發(fā)-手術時間在卵巢蒂扭轉(zhuǎn)時的臨床意義　出處：《中國超聲醫(yī)學雜志》2017年05期 　論文類型：期刊論文

  更多相關文章： 卵巢蒂扭轉(zhuǎn) 多普勒超聲 血流信號分級 腹痛激發(fā)-手術時間 卵巢活性

【摘要】：目的通過彩色多普勒超聲對卵巢蒂扭轉(zhuǎn)(OT)時血管蒂內(nèi)的血流信號進行分級,聯(lián)合腹痛激發(fā)-手術時間為OT時臨床治療方案的選擇提供科學依據(jù)。方法回顧性分析31例因卵巢良性腫物蒂扭轉(zhuǎn)在我院行腹腔鏡(開腹)手術證實者,所有患者均于術前行經(jīng)陰道(直腸)和(或)經(jīng)腹超聲檢查,根據(jù)蒂內(nèi)血流信號特征進行分級。記錄腹痛激發(fā)-手術時間。結(jié)果血流信號Ⅰ級8例、Ⅱ級10例、Ⅲ級13例,卵巢存活率分別為100%、80%、30.8%。統(tǒng)計結(jié)果顯示血流信號Ⅱ、Ⅲ級者卵巢存活率間存在差異,腹痛激發(fā)-手術時間是卵巢活性的影響因素之一。結(jié)論卵巢腫物蒂扭轉(zhuǎn)時術中卵巢及腫物顏色不代表卵巢活性,所有扭轉(zhuǎn)者均應先行復位;血流信號Ⅰ級者卵巢均存活,可根據(jù)患者情況擇期手術,Ⅱ、Ⅲ級者卵巢活性與腹痛激發(fā)-手術時間有關,應行急診手術,為挽救卵巢爭取時機。
[Abstract]:Objective to grade the blood flow signal in the blood vessel during the ovarian pedicle torsion by color Doppler ultrasound (CDFI). The combination of abdominal pain stimulation and operation time provided scientific basis for the choice of clinical treatment in OT. Methods 31 cases of ovarian benign tumor pedicle torsion confirmed by laparoscopic (open) operation in our hospital were retrospectively analyzed. All the patients underwent transvaginal (rectal) and / or transabdominal sonography before operation. According to the characteristics of blood flow signal in Tini, the time of abdominal pain stimulation and operation was recorded. Results the blood flow signal was grade 鈪，

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