卵巢囊肿肿会导致什么后果?What are the consequences of ovarian cyst swelling?

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  • 更新日期:2019-04-26 18:14
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卵巢囊肿的并发症有哪些:陈凤林教授指出:卵巢囊肿常见的病发症有蒂扭转,破裂、感染、癌变。具体的卵巢囊肿并发症类别如下:What are the complications of ovarian cysts: Professor Chen Fenglin pointed out that the common symptoms of ovarian cysts

卵巢囊肿的并发症有哪些:陈凤林教授指出:卵巢囊肿常见的病发症有蒂扭转,破裂、感染、癌变。具体的卵巢囊肿并发症类别如下:What are the complications of ovarian cysts: Professor Chen Fenglin pointed out that the common symptoms of ovarian cysts are pedicle torsion, rupture, infection and canceration. The specific types of complications of ovarian cysts are as follows:


1. Infection: rare, secondary to tumour pedicle torsion or rupture. The main symptoms were fever, abdominal pain, elevated white blood cells and peritonitis in different degrees. Infection should be actively controlled and selective surgical exploration should be carried out.

2、腹水:腹水可以并发于良性或恶性,囊性或突发性,完整的或破裂的卵巢瘤。腹水呈淡黄色、黄绿色,或带红色甚至为明显的血性;有时由于混有粘液或其他瘤内容物而混浊。 腹水多伴发于恶性卵巢囊肿,尤其是有腹膜种植或转移者。腹水发生与肿瘤之恶性程度成正比,腹水最多伴发于实质性原发癌,占75%。腹水亦可发生于并无蒂扭转、坏死或炎性变化的良性肿瘤。

Ascites: Ascites can be concurrent with benign or malignant, cystic or sudden, complete or ruptured ovarian tumors. Ascites is yellowish, yellowish-green, or reddish or even markedly bloody; sometimes it is cloudy due to the presence of mucus or other tumor contents. Ascites is often associated with malignant ovarian cysts, especially those with peritoneal implantation or metastasis. The occurrence of ascites is directly proportional to the malignant degree of the tumors, and ascites is most often associated with solid primary cancer, accounting for 75%. Ascites can also occur in benign tumors without pedicle torsion, necrosis or inflammatory changes.


3. Extraperitoneal growth: Some ovarian tumors are buried deep into the retroperitoneum in the course of their growth, mostly in the ipsilateral broad ligament, causing uterine displacement; Gradually, they can make sigmoid colon, rectum, bladder and ureter shift, and make them compressed, resulting in compressive symptoms of various organs, such as urination, hard defecation, low back and abdominal pain, lower limb edema; Some can even reach the kidney. Around, cause hydronephrosis.


4. Ovarian cyst pedicle torsion: more common, one of gynecological acute abdomen. Most of them are cystic tumors with long pedicle, medium size, high mobility and one-sided center of gravity. Most of them occur in abrupt changes of posture, early pregnancy or postpartum. After torsion of pedicle, congestion, purple-brown or even blood vessel rupture and hemorrhage are caused by obstruction of venous reflux of tumors. Tumor necrosis and infection may occur due to arterial obstruction. When acute pedicle torsion occurs, the patient suddenly suffers from severe pain in the lower abdomen, which can be accompanied by nausea, vomiting and even shock. The muscles of the affected abdominal wall were tense, tenderness was significant, and the tension of the mass was large. Once confirmed, the tumors should be removed immediately. Do not turn the torsion pedicle back during the operation. The proximal clamp of the torsion pedicle should be cut off to prevent the thrombus from falling off and entering the blood circulation.


5. Tumor rupture: spontaneous rupture may be caused by ischemic necrosis of the cystic wall or by erosion of the cystic wall; or traumatic rupture may be caused by compression, childbirth, gynecological examination and puncture. After rupture, cystic fluid flows into the abdominal cavity and stimulates the peritoneum, which can cause severe abdominal pain, nausea, vomiting and even shock. During the examination, abdominal wall tension, tenderness, rebound pain and other abdominal irritation signs were observed, and the original mass was reduced or disappeared. After diagnosis, laparotomy, cyst removal and peritoneal cleaning should be performed immediately.


6. Hemorrhage: A large number of patients with small amount of hemorrhage in ovarian cyst tumors were found in the egg control examination during the laparotomy, but no symptoms were found. Occasionally, patients with massive intratumoral hemorrhage, especially worsening tumors, may develop symptoms like pedicle torsion. Tumor pedicle torsion or rupture can cause varying degrees of intracavitary hemorrhage, and even shock.


7. Malignant transformation of ovarian cysts: malignant transformation of benign ovarian tumors often occurs in older women, especially in menopausal women. Tumors rapidly increase in a short period of time. Patients feel abdominal distension and lack of appetite. Examination shows that the volume of the tumors is significantly increased, fixed, and more ascites. Those suspected of malignant transformation should be dealt with promptly.


8. Edema: The cyst is mainly fibroma, which can be accompanied by marked edema, resulting in a rapid increase in the volume of the tumor, often misdiagnosed as malignant tumors.


9. Incarceration: Ovarian tumors smaller than the head of the fetus can be squeezed into the uterine and rectal fossa, and occasionally into the uterus and bladder, resulting in defecation or urination disorders.

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