Analysis Of48Operation Cases Of Ovarian Cyst Torsion

Background:The pedicle torsion of ovarian cyst is one of the most common gynecological acute abdomen. It occurs in10%of ovarian neoplasm [1]. The clinical manifestations were characterized by acute abdominal pain, abdominal mass and peritoniti. Early diagnosis and treatment can prevent complications. If no diagnosis and treatment timely, there may be a need to remove the side of fallopian tube and ovary, then this would influence the female endocrine function, especially the young women, this could influence their reproductive function. Some petiences no diagnosis and treatment timely can occur pulmonary embolism because of the formation of ovarian vein thrombosis, even death. Currently, principle of treatment is operation treatment as soon as possible after diagnosed. The traditional operation is appendicectomy to avoid the thrombotic disease, but torsion of ovarian tumor patients is almost for women of childbearing age, after resection of attachment side is bound to influence their productive and endocrine function, then the decline in the quality of life. In recent years, the public has paid more and more attention on how to underwent onservative operation so as to retain its ipsilateral attachment. We collected the torsion of ovarian cysts from Yanggu County People’s Hospital of Obstetrics and Gynecology, and evaluated it.Purpose:To explore the safety and effectiveness of the different ovarian cyst torsion operation mode.Methods:Retrospective48patients that were diagnosed as ovarian cyst torsion in2009January to2013June. According to the different operation, they were divided into2groups:the group of oophorocystectomy retenting of ovarian cyst (26cases) and appendicectomy (22cases).We evaluated the two treatments from two groups’ time of onset, time of ovarian cyst torsion, operation time, mean intraoperative blood loss, postoperative hospitalization time, estrogen and progesterone levels and other aspects, in order to seek the more reasonable treatment.Results:The two groups’time of onset respectively10.2±5.2hours and15.9±5.6hours. The difference between the two groups had statistical significance (P<0.05). The time of ovarian cyst torsion respectively1.7±0.5weeks and2.1±0.5weeks. The difference between the two groups had statistical significance (P<0.05). The mean intraoperative blood loss respectively30.5±5.0ml and29.83±6.85ml. The difference between the two groups had no statistical significance (P>0.05). The operation time respectively91.3±21.4minutes and85.4±19.7minute. The difference between the two groups had statistical significance (P<0.05). The postoperative hospitalization time respectively6.7±0.9days and6.9±0.8days. The difference between the two groups had no statistical significance (P>0.05).2months after operation, we compared the endocrine hormone of two groups, and the difference between the two groups had statistical significance (P<0.05). For the recovery of estrogen and progesterone levels, the group of oophorocystectomy retenting of ovarian cyst is better than the other one. Pathological results:according to the pathology confirmed the frozen in operation and routine postoperative pathology,48cases all were benign ovarian tumor.Conclusion:①Early diagnosis and timely treatment can effectively reduce the probability of accessory resection, pedicle of ovarian tumor once diagnosed should be actively operation exploration.②Intraoperative attachment fate depends on the nature of the tumor and the time and degree of torsion.③Ovarian cyst enucleation is safe and feasible for patients that torsion of ovarian tumor torsion of short time, less number of weeks.④For torsion of ovarian tumor patients ovarian preservation operation helps to retain the endocrine function of ovary.