论文部分内容阅读
目的:提高卵巢子宫内膜异位囊肿破裂的早期诊断率,减少误诊。方法:回顾性分析21例卵巢子宫内膜异位囊肿破裂致急腹症临床资料,总结其早期诊断和误诊原因。结果:21例卵巢子宫内膜异位囊肿破裂因突发下腹痛入院,B超提示卵巢囊肿或者子宫前方混合性包块,手术病理确诊卵巢子宫内膜异位囊肿。首次误诊率23.8%,误诊急性盆腔炎2例,急性阑尾炎3例。结论:卵巢子宫内膜异位囊肿破裂致急腹症临床表现可能不典型,易误诊,值得重视,此病一旦确诊应及时手术,术后辅助药物治疗,合理的手术方式及术后用药对抢救病人及维持卵巢内分泌功能、促进生育、防止复发至关重要。
Objective: To improve the early diagnosis of ovarian endometriosis rupture and reduce the misdiagnosis. Methods: A retrospective analysis of 21 cases of ovarian endometrial cyst rupture caused by acute abdomen clinical data summary of its early diagnosis and misdiagnosis reasons. Results: 21 cases of ovarian endometriosis cyst rupture due to sudden onset of lower abdominal pain, B-ultrasound prompted ovarian cysts or mixed mass in front of the uterus, surgical pathology confirmed ovarian endometriosis cysts. The first misdiagnosis rate was 23.8%, misdiagnosed acute pelvic inflammatory disease in 2 cases and acute appendicitis in 3 cases. Conclusion: The clinical manifestations of acute abdomen caused by the rupture of ovarian endometriosis cyst may be atypical and easy to be misdiagnosed, which deserves attention. Once diagnosed, the disease should be timely surgery, postoperative adjuvant drug therapy, reasonable operation and postoperative medication Patients and maintain ovarian endocrine function, promote fertility, prevent relapse is essential.