Nhận xét về chẩn đoán và xử trí u nang buồng trứng xoắn tại Khoa Phụ sản, Bệnh viện Quân y 103 trong 10 năm (2009 - 2019)

Abstract

Objective: To study incidence, the risk factors, diagnostic characteristics and management of ovarian torsion (OT). Subject and method: A prospective and cross-sectional study on 72 cases of OT in 10 years (2009 - 2019) at Department of Obstetrics & Gynecology, 103 Military Hospital. Result: The incidence of ovarian torsion was 6.9% in this study. Ovarian torsion (OT) was more common with dermoid cyst & serous cyst, tumors of small or moderate size (5 - 10cm) 90.6% than the large ones (> 10cm) 9.4%; these tumors were usually benign (100%) and not adhesive (100%); some risk factors of OT were walking a lot (44.4%), sexual intercourse (20.6%), the first trimester of pregnancy (6.3%). Clinical examination combine with ultrasound could help us diagnose rather high-accurately prior surgery (86.6%). Some diseases could be misdiagnosed were ovarian endometrioma, ovarian cyst rupture, torsion of fanlopian tube cyst, tubo-ovarian abscess. We performed laparoscopy safely on almost patients (88.9%) with no complications. Most ovaries were not salvageable because of ovarian necrosis: A untwisting Salpingo-oophorectomy was performed (60.3%). In the case of a non-infarcted adnexa, cystectomy would be performed if patient has no menopause (39.7%). Conclusion: OT usually occures with tumors of small or moderate size, is more common with dermoid cyst. Combination of clinical examination and ultrasound could help us diagnose rather high-accurately prior surgery. Laparoscopic surgery were performed safely on almost cases of OT in this study.