36例卵巢黄体破裂临床分析  

An analysis of 36 cases ruptured corpus luteum with hemoperitoneum

作　　者：王帆[1] 黄剑峰[1] 陈丽宏[1] 雷永红[1] 李翠祥[1] 

机构地区：[1]陕西省人民医院妇科,陕西西安710068

出　　处：《中国妇幼健康研究》2011年第1期91-92,共2页Chinese Journal of Woman and Child Health Research

基　　金：国家自然科学基金资助项目（30901600）;陕西省科技攻关资助项目（2006K14-G12：4）

摘　　要：目的探讨卵巢黄体破裂的临床特点及治疗方法。方法．对2007年5月～2009年5月收治的36例卵巢黄体破裂患者进行回顾性分析。结果31例行保守治疗，5例行手术治疗，3例术前和妊娠相关疾病鉴别困难，术中确诊。36例患者全部治愈。结论B超检查和人绒毛膜促性腺激素检查是诊断卵巢黄体破裂的重要辅助检查方法；卵巢黄体破裂首选保守治疗，腹腔内出血严重时需手术治疗，治疗后预后良好。Objective To investigate clinical characteristics of ovarian ruptured corpus luteum with hemoperitoneum and to explore therapeutic methods for the disease. Methods The clinical data of 36 patients with ruptured corpus luteum treated in our hospital in a period from May, 2007 to May, 2009 were retrospectively analy：~ d. Results 31 patients received conservative treatment, and other 5 patients received surgical treatment. 3 patients were difficult to be differentially diagnosed with pregnancy-associated diseases before operation and their diagnoses were determined finally in the operation. All of the patients cured. Conclusion Combination of B uhrasonography and urinary hCG pregnancy test is the most useful and convenient method to diagnose rupture of corpus luteum cysts. Conservative treatment should be used as first-chosen method to ruptured corpus luteum. Surgical interventions should be chosen when the patient is accompanying with severe hemoperitoneum.

关 键 词：卵巢黄体囊肿 黄体破裂 保守治疗 诊断 

分 类 号：R711[医药卫生—妇产科学]