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目的:探讨被误诊为妇科急腹症的阑尾炎的临床特点及误诊原因。方法:对2002年1月-2010年7月在我科以妇科急腹症住院并手术后最终确诊的急性阑尾炎或妇科疾病并发急性阑尾炎患者20例进行回顾性分析。结果:20例患者中被误诊为急性盆腔炎12例、卵巢囊肿并蒂扭转2例、卵巢畸胎瘤2例、右侧附件炎4例。结论:不典型阑尾炎特别并发妇科原有疾病往往容易导致误诊。详细询问病史,仔细查体,密切观察疾病发展态势以及与外科医生保持紧密联系是避免误诊的关键所在。
Objective: To investigate the clinical features and causes of misdiagnosis of appendicitis misdiagnosed as gynecologic acute abdomen. Methods: A retrospective analysis of 20 patients with acute appendicitis or gynecological diseases complicated with acute appendicitis hospitalized in our department from January 2002 to July 2010 in our hospital for gynecologic acute abdomen and finally confirmed after operation. Results: Twenty patients were misdiagnosed as acute pelvic inflammatory disease in 12 cases, ovarian cyst and twisting in 2 cases, ovarian teratoma in 2 cases and right accessory inflammation in 4 cases. Conclusion: Atypical appendicitis complicated with gynecological diseases are often easily lead to misdiagnosis. A detailed examination of the medical history, a detailed examination of the body, a close observation of the disease development situation and the close contact with the surgeon are the keys to avoiding misdiagnosis.