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2017年2月,加拿大妇产科医师协会(SOGC)颁布第341号临床实践指南,亦即《儿童、青少年和成年人附件扭转的诊治临床实践指南》,该指南由加拿大儿童/成年人妇科委员会(CANPAGO)起草制订,经妇科临床、影像学等有关专家评审后,获得SOGC理事会批准并通过。指南发布4项声明:(1)彩色与非彩色多普勒血流显像是任何可疑附件扭转的可选择的成像方式(Ⅱ-2)。(2)腹腔镜探查是附件扭转的首选手术
In February 2017, the Canadian Association of Obstetricians and Gynecologists (SOGC) issued Guidance 341 on Clinical Practice, a clinical practice guide for the diagnosis and treatment of twisting in children, adolescents and adults, published by the Canadian Children / Adults Gynecology Committee (CANPAGO) drafting, after gynecological clinical, imaging and other relevant experts review, obtained SOGC Council approval and adoption. The guide publishes 4 statements: (1) Both color and achromatic Doppler flow imaging are alternative imaging modalities for the correction of any suspicious attachments (II-2). (2) laparoscopic exploration is the preferred surgery to reverse the attachment