摘要
目的:探讨卵巢黄体囊肿破裂的临床特征和治疗方案。方法:对75例卵巢黄体囊肿破裂临床资料进行回顾性分析。结果:75例均发生于卵巢功能旺盛时期,均以突发性下腹痛为主要症状,51例以右下腹痛为主,43例伴阴道流血,后穹隆穿刺或腹腔穿刺均抽出不凝血液。入院诊断为黄体囊肿破裂65例,腹痛原因待查10例。73例经手术病理证实为黄体囊肿破裂;2例经临床分析诊断为卵巢黄体囊肿破裂,保守治疗而愈。结论:卵巢黄体囊肿破裂既可发生于月经黄体,又发生于妊娠黄体,以右侧卵巢多见,临床应注意与阑尾炎、异位妊娠破裂及卵巢肿瘤蒂扭转鉴别。
Objective:To explore the clinical futures of and treatment protocol for rupture of ovarian corpus luteum cyst (ROCLC).Methods:A retrospective study was carried out on clinical data about 75 cases of ROCLC.Results:All the patients with ROCLC in this study were in vigorous phase of ovarian function.Each of them was presenting with sudden lower abdominal pain;51 cases were prediminently having right lower abdominal pain;43 cases were complicated by colporrrhagia and incoagulable blood was found through culdocentesis or abdominal paracentesis;2 cases were diagnosed with rupture of ovarian corpus luteum cyst and they recovered after the routine conservative treatment.Conclusions:ROCLC might occur in corpus luteum of menstruation as well as corpus luteum of pregnancy with the right ovary as the predominant side.This disease should be differentiated from appendicitis,rupture of ectopic pregnancy and torsion of ovarian tumors.
出处
《临床误诊误治》
2005年第4期265-266,共2页
Clinical Misdiagnosis & Mistherapy
关键词
卵巢囊肿
诊断
阑尾炎
妊娠
异位
卵巢肿瘤
Ovarian cyst
Diagnosis
Appendicitis
Pregnancy,ectopic
Ovarian tumor
