妊娠期卵巢过度刺激综合征合并卵巢蒂扭转行腹腔镜下保留卵巢术的可行性及安全性研究

目的:研究妊娠期卵巢过度刺激综合征合并卵巢蒂扭转行腹腔镜下保留卵巢术的可行性及安全性。方法:对本院2010年1月-2017年12月妇科住院的9例妊娠期卵巢过度刺激综合征合并卵巢蒂扭转患者进行腹腔镜下保留卵巢术,观察其发病时间、卵巢扭转情况、手术时间、术中出血量、术后并发症及妊娠结局等。结果:9例患者术后均无明显并发症发生,术后随访9例患者妊娠结局均良好,其中,8例患者足月产,1例早产。结论:腹腔镜下妊娠期卵巢过度刺激综合征合并卵巢蒂扭转保留卵巢术对患者维持妊娠及生育功能的影响小、术后并发症低,是一种安全、可行性强的手术。

Feasibility and Safety of Laparoscopic Lvarian-conserving Surgery for Ovarian Hyperirritant Syndrome Combined with Ovarian Pedicle Torsion during Pregnancy

ABSTRACT Objective: To investigate the feasibility and safety of lvarian-conserving surgery for ovarian hyperirritant syndrome combined with ovarian pedicle torsion during pregnancy. Methods: laparoscopic lvarian-conserving surgery was performed for 9 cases of ovarian hyperstimulation syndrome complicated with ovarian pedicle torsion during pregnancy, who were admitted to 174th Hospital of Chinese people''s Liberation Army from January 2010 to December 2017. The onset time, ovarian torsion, operation time,intraoperative bleeding volume, postoperative complications and pregnancy outcome of the patients were observed. Results: There were no obvious complications in 9 patients, and the pregnancy outcomes were good in 9 patients, including 8 patients with full term birth and 1 patient premature birth. Conclusion: Laparoscopic lvarian-conserving surgery is a safe and feasible operation for ovarian hyperirritant syndrome combined with ovarian pedicle torsion during pregnancy, with little influence on maintaining pregnancy and reproductive function and low postoperative complications.