UNASSIGNED: The purpose of this review is to review the current findings of ovarian torsion including clinical presentations, diagnostic criteria, surgical procedures, and prognosis.
UNASSIGNED: The literature search is mainly available in PubMed and Web of Science platforms by searching \"ovarian torsion\" combined with one or several terms including \"diagnosis\" \"risk factors\" \"surgery\" and \"torsion recurrence.\"
UNASSIGNED: Abdominal pain, nausea, and vomiting were normal clinical presentations. In order to increase the accuracy of diagnosis, it is necessary to integrate clinical presentation and the findings of imaging and laboratory examinations. Computed tomography findings, plasma d-dimer level, and the time from pain onset play a critical role in distinguishing ovarian necrosis. The efficiency of oophoropexy on preventing recurrent ovarian torsion is controversial.
UNASSIGNED: Most patients with early diagnosis of ovarian torsion may have a better prognosis with conservative surgery.
UNASSIGNED: Better understanding of ovarian torsion is critical for gynecologists to promote accuracy of diagnosis and select the optimal surgical procedure.
■这篇综述的目的是回顾卵巢扭转的当前发现,包括临床表现,诊断标准,外科手术,和预后。
■文献检索主要在PubMed和WebofScience平台上通过检索“卵巢扭转”和一个或几个术语,包括“诊断”“危险因素”“手术”和“扭转复发”。\"
■腹痛,恶心,和呕吐是正常的临床表现。为了提高诊断的准确性,有必要整合临床表现以及影像学和实验室检查的结果。计算机断层扫描结果,血浆D-二聚体水平,从疼痛开始的时间在区分卵巢坏死中起着至关重要的作用。卵形固定术预防复发性卵巢扭转的有效性存在争议。
■大多数早期诊断为卵巢扭转的患者在保守性手术后可能具有更好的预后。
■更好地了解卵巢扭转对于妇科医生提高诊断的准确性和选择最佳手术方式至关重要。