NGHIÊN CỨU VỀ TỈ LỆ, YẾU TỐ NGUY CƠ, ĐẶC ĐIỂM CHẨN ĐOÁN VÀ KẾT QUẢ XỬ TRÍ U BUỒNG TRỨNG XOẮN TẠI BỆNH VIỆN QUÂN Y 103 TRONG 5 NĂM (2019 - 2024)

Abstract

Objectives: To study the incidence of, the risk factors of, the diagnostic charecteristics of and management for ovarian tumor torsion (OT) or adnexal torsion. Methods: A prospective study on 53 cases of OT within 5 years (2019-2024) at Department of Obstet. & Gynecol, Military Hospital 103. Results: The incidence of OT was 8.6%. OT is more common with dermoid cyst and serous cyst, moderate size tumors (5-10 cm) more often than large tumors (>10 cm) 93.9% and 6.1% respectively. All tumors are benign and not adhesive. The risk factors of OT were walking a lot (42.9%), sexual intercourse (24.5%), pregnancy in the first trimester (6.1%). Clinical examination combine with ultrasound could help accurately diagnose at preoperation (92.4%). Some diseases could be misdiagnosed were ovarian endometrioma, abscess of fallopian tube. We performed laparoscopy safely on almost patients (93,8%) without complications. Most OT are not salvageable because of ovarian necrosis, in this case, salpingo-ovarectomy without opening twisting will be performed (61,2%). In the case of non necrotic ovarian, cystectomy to preserve normal ovarian tissue will be performed (38,8%). Conclusion: Ovatian tumor torsion usually occurs with tumors of moderate size, the most common tumor is dermoid and serous cyst. Laparoscopic surgery were performed safely on almost cases of OT in this study (93.8%).