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| Clinical Analysis of Conservative Treatment of Torsion Reset and Benign Tumor Resection in Ipsilateral Oviduct and Ovary Retained |
| HU Zhi-fang, ZHENG Jian-jun |
| Department of Gynecology, Central Hospital of Baoji city of Shaanxi Province, Baoji, Shaanxi 721008 |
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Abstract 【Objective】To explore the conservative treatment of the oviduct and ovary retained in the ipsilateral benign ovarian tumor in young patients.【Methods】One hundred and eighty-three patients diagnosed with ovarian neoplasms in our hospital from January 2011 to December 2014 were selected and divided into pedicle torsion group and torsion group, respectively according to whether combined pedicle torsion or not. Treatment of benign ovarian tumor torsion reset reduction and simple tumor stripping were performed.Frozen sections were then taken for histopathological examination; intraoperative and hospitalization time were compared between the two groups of patients.【Results】In 183 cases, 91 cases (49.7%) were diagnosed as non neoplastic ovarian cysts (including endometriosis), 69 cases of benign tumor (37.7%), 20 cases (11%) of primary malignant ovarian tumor, 2 cases of borderline tumors (1.1%) and 1 case of metastatic colorectal cancer (0.55%). In 160 cases of benign tumors, 131 cases (81.8%) may undergo conservative surgery to preserve the affected fallopian tubes and ovaries. The median follow-up time of 20 patients with primary malignant ovarian tumors was 36 (1~62) months. During this period, 2/20 (10%) recurred, all of which were germ cell types (immature teratoma and yolk sac tumor). 131 patients who had received conservative surgery to retain the ipsilateral fallopian tubes and ovaries were cured. The operative time and length of hospital stay were shorter in torsion group than in torsion group (P<0.05).【Conclusion】Conservative ovarian conservative surgery is effective and safe in the treatment of benign ovarian tumors in young patients, and the operation is better if no tumor torsion is found.
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Received: 06 March 2017
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2017, Vol. 34 
