CAJ | 학술논문

目的：总结儿童卵巢扭转的早期正确诊断和治疗方法。方法回顾性分析我院2005年1月-2012年10月间收治的64例卵巢扭转病例，总结各个年龄段患儿的临床表现，并结合指肛、B超、CT检查的主要征象进行早期诊断，所有患儿均行腹腔镜手术探查。患儿均表现有下腹部绞痛，B超、CT检查发现在盆腔有不均质肿块，提示早期有卵巢扭转可能。指肛检查检出率达到（45/64）70.3%。结果所有患者均行腹腔镜手术探查，5例切除卵巢，其余均保守治疗，术后随访良好。结论儿童卵巢扭转极易误诊。超声、CT、指肛检查以及积极进行腹腔镜手术探查是诊断兼治疗的有效措施。
목적：총결인동란소뉴전적조기정학진단화치료방법。방법회고성분석아원2005년1월-2012년10월간수치적64례란소뉴전병례，총결각개년령단환인적림상표현，병결합지항、B초、CT검사적주요정상진행조기진단，소유환인균행복강경수술탐사。환인균표현유하복부교통，B초、CT검사발현재분강유불균질종괴，제시조기유란소뉴전가능。지항검사검출솔체도（45/64）70.3%。결과소유환자균행복강경수술탐사，5례절제란소，기여균보수치료，술후수방량호。결론인동란소뉴전겁역오진。초성、CT、지항검사이급적겁진행복강경수술탐사시진단겸치료적유효조시。
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.