ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ SỚM KHỐI U BUỒNG TRỨNG XOẮN TẠI BỆNH VIỆN QUÂN Y 103

Abstract

Objectives: Review some clinical, paraclinical characteristics of torsion ovarian tumor. Subjects and methods: From January 2019 to December 2022, 36 patients were diagnosed with torsion ovarian tumor at 103 Military Hospital. Results: All patients underwent laparoscopic surgery. The percentage of patients with ovarian preservation was 38,89%. Torsion ovarian tumor with size 5-10cm accounts for the highest rate (75%). There are 27,78% of patients using prophylactic antibiotics. The majority of patients did not have fever after surgery (91.67%). The rate of patients sitting up after surgery on the first day was 77,78%. 77,78% of cases were able to walk on the 2nd day. By the 3rd day, the percentage of patients could walk 100%. There were 19,44% of patients in the study who did not need to use analgesia postsurgery. The percentage of cases of using pain relief 1 day after surgery accounted for 66,67%. Most of the patients in the study were hospitalized 5-7 days after surgery (63,89%). The mean hospital stay after surgery was 5,03 ± 1,18 days. Dermoid cysts (47,22%) and serous cysts (41,67%) are more likely to cause torsion. All patients in the study had no intracomplications and postcomplications. There was a relationship between the treatment method and the time from symptom onset to hospital admission, tumor perfusion status and age (p<0.05). Conclusion: This study shows that laparoscopic surgery is safe for all patients with torsion ovarian tumor. Torsion ovarian tumors are usually medium in size (5-10cm) and are usually dermoid or serous cysts. Reduce the time to use antibiotics, the time to use pain relief postsurgery. Patients can move and recover soon postsurgery.