When conducting an ultrasonic examination, if the left adnexal cyst is without echo, you should pay attention to it. When the cyst is without echo, it means that the permeability is relatively good and there will be uniform fluid inside. It is generally more common in ovarian cysts. It can also easily cause encapsulated fluid accumulation in the pelvic cavity. At this time, further examination should be carried out, followed by symptomatic treatment. Causes of adnexal cysts 1. Genetic factors According to statistics, 20% to 25% of ovarian tumor patients have a family history. 2. Endocrine factors: The ovaries are important organs for ovulation and secretion of gonadal hormones. Ovarian tumors mostly occur during the reproductive age. Clinically, the basic pathophysiological change in many patients with ovarian cysts and polycystic ovary syndrome is that the ovaries produce too much androgen, and the excessive production of androgen is the result of the synergistic dysfunction of multiple endocrine systems in the body. 3. Lifestyle factors: Long-term poor diet structure, living habits, and excessive psychological stress can lead to physiological ovarian cysts and true ovarian tumors. 4. Environmental factors: Food contamination, such as plant growth hormones used in vegetables, and hormone components such as clenbuterol in formula feeding of livestock and poultry. In recent years, with the improvement of living standards and changes in eating habits in my country, as well as the abuse of hormone drugs and tonics such as breast augmentation, weight loss, and anti-aging by some young and middle-aged women, the high incidence and younger age of ovarian tumors may also be related.treat Surgical treatment: The treatment of ovarian cysts depends on factors such as the patient's age, whether it is malignant, the location, volume, size, growth rate of the cyst, whether the reproductive function is preserved, and the patient's subjective wishes. 1. Surgical treatment of benign ovarian cysts (1) Ovarian cystectomy. This procedure is often used in young patients, especially premenopausal patients, while preserving normal ovarian tissue as much as possible. (2) Salpingo-oophorectomy: Older patients (over 45 years old) or postmenopausal patients can undergo unilateral or bilateral salpingo-oophorectomy. 2. Surgical treatment of malignant ovarian cysts (1) Most patients are in the advanced stage when they seek medical treatment. Therefore, every effort should be made to remove the primary cyst and any visible pelvic and abdominal metastases. (2) Consider placing a catheter in the abdominal cavity to facilitate the postoperative intraperitoneal injection of chemotherapy drugs. |
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