卵巢黄体破裂(102例临床分析)  

Rupture of Ovarian Corpus Luteum—— A Clinical Analysis of 102 Cases

作　　者：郑红兵[1] 何福仙 

机构地区：[1]同济医科大学附属同济医院妇产科,武汉430030

出　　处：《华中科技大学学报（医学版）》1997年第S1期81-82,共2页Acta Medicinae Universitatis Scientiae et Technologiae Huazhong

摘　　要：1984年1月至1994年12月经手术及病理检查确诊卵巢黄体破裂102例,均为育龄妇女,发病年龄以21～30岁最为多见,共74例,占72.5％。其中发生于左侧卵巢36例,右侧66例。合并官内妊娠2例、异位妊娠6例及卵巢囊肿18例。本组术前误诊68例,占66.7％,黄体破裂出血量的多少与破口大小无明显关系。处理原则应根据临床表现的轻重程度决定手术与否。单纯黄体破裂的手术应以修补为主,对年青妇女尤为重要。102 cases of rupture of ovarian corpus luteum were diagnosed via laparotomy and pathological examination from January 1984 to December 1994 in our hospital. All of the patients were in their child-bear- ing age, with peak onset 21 to 30 years old (74 cases, 72.5%). of the 102 cases, 36 occurred in left side of the ovary, while 66 were in the right side. 2 cases were accompanied with intrauterine gestation, 6 cases with ectopic pregnancy and 18 cases with ovarian cyst. 68 cases (66.7%) were misdiagnosed before operation. The volume of blood loss was not significantly related to the size of rupture. The study indicated that doing operation or not depended on the severity of clinical manifestations. Surgical repair of the ruptured ovary is the first choice of treatment, especially for young women.

关 键 词：黄体破裂 急腹症 剖腹探查术 

分 类 号：R711.75[医药卫生—妇产科学]