摘要
目的:探讨妇科非异位妊娠急腹症手术的临床表现、诊断及治疗。方法:回顾性分析因急腹症在我院手术治疗而非异位妊娠的病例80例。结果:术后诊断为卵巢瘤/囊肿蒂扭转的42例,占52.50%,手术前后诊断符合率为90.48%;黄体破裂14例,占17.50%,手术前后诊断符合率为78.57%;卵巢输卵管脓肿6例,占7.50%,手术前后诊断符合率只有33.33%。结论:妇科急腹症中卵巢瘤/囊肿蒂扭转、黄体破裂术前诊断准确率高。输卵管扭转、正常卵巢扭转、出血性输卵管炎、原发子宫坏疽穿孔等临床少见,症状特异性差,易误诊。对妇科急腹症应及时作出诊断和鉴别诊断,病情危重或有恶化趋势,有手术指征者,应及时剖腹探查。
Objective To investigate the clinical feature ,diagnosis and treatment of gynecological acute abdomen not ectopic pregnan- cy. Method The clinical data of 80 cases with gynecological acute abdomen not eetopic pregnancy were retrospectively ana- lyzed. Results Ovarian cyst torsion were 42 cases, accounting for 52.50 %, the diagnostic accuracy was 90. 48%. Ovarian corpus luteum rupture were 14 cases, accounting for 17.50%, the diagnostic accuracy was 78.57%. tubo - ovarian abscess were 6 eases, accounting for 7. 50% ,the iagnostic accuracy was only 33.33%. Conclusion The diagnostic accuracy of ovarian cyst torsion and ovarian corpus luteum rupture were much higher than others including fallopian tubal torsion, torsion of normal ovary, hemorrhagic salpingitis and spontaneous per- foration of pyometra. Gynecological acute abdomen should be diagnosed accurately, and operate in time for critically in patients or patients are worsening with indications for surgery.
出处
《吉林医学》
CAS
2014年第10期2070-2072,共3页
Jilin Medical Journal
关键词
妇科急腹症
手术
临床特点
Gyneeologieal acute abdomen
Surgery
Clinical characteristics
