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目的 总结儿童卵巢疾病误诊或延误诊治的经验教训 ,降低卵巢的切除率。方法 通过对 9例儿童卵巢疾病误诊或延误手术治疗的临床症状 ,辅助检查和手术中发现进行综合分析。结果 儿童卵巢疾病病史 ,症状不典型 ,右下腹压痛范围较广 ,麦氏点压痛轻。血性腹水量少 ,易延误诊断致卵巢坏死 ,致卵巢切除率高 ,或误诊为阑尾炎。结论 提高对儿童卵巢疾病的认识 ,仔细的体格检查 ,动态的影像检查和右下腹穿刺 ,可尽早诊断儿童卵巢疾病 ,减少卵巢切除机会。
Objective To summarize the experience of misdiagnosis or delayed diagnosis and treatment of ovary disease in children and reduce the ovarian resection rate. Methods Nine cases of children with misdiagnosed or delayed surgical treatment of ovarian disease clinical symptoms, auxiliary examination and surgery were found in a comprehensive analysis. Results The history of children with ovarian disease, atypical symptoms, right lower quadrant tenderness wider range, Maxwell pressure tenderness. Less bloody ascites, easy to delay diagnosis of ovarian necrosis, resulting in high rate of ovariectomy, or misdiagnosed as appendicitis. Conclusions To improve awareness of ovarian disease in children, careful physical examination, dynamic imaging and right lower quadrant puncture can be as early as possible diagnosis of ovarian disease in children and reduce the chance of ovariectomy.