卵巢黄体破裂出血62例诊治与误诊分析  

Dignosis,treatment and misdiagnsis analysis of 62 cases of ovarian corpus luteum rupture complicated with hemorrhage

作　　者：司徒桂花 陈建英 

机构地区：[1]广东省阳江市妇幼保健院妇科,阳江529500

出　　处：《临床医学》2012年第8期21-23,共3页Clinical Medicine

摘　　要：目的分析总结卵巢黄体破裂出血的临床诊断与治疗,减少误诊率,提高诊治水平。方法对阳江市妇幼保健院2007年至2011年收治的62例卵巢黄体破裂出血患者的临床资料进行回顾性分析。结果 62例患者中保守治疗成功14例,占22.58%;手术治疗48例,占77.42%,其中腹腔镜治疗4例,占手术治疗的8.33%。误诊为其他疾病30例,误诊率达48.39%。结论卵巢黄体破裂误诊率高,需引起临床充分重视。相当一部分黄体破裂可以保守治疗。手术以开腹为主,方法为剔除黄体后行卵巢修补术,最大限度保留卵巢功能。Objective To analyze and summarize the clinical diagnosis and treatment of ovarian corpus luteum rupture com- plicated with hemorrahage, in order to reduce the misdiagnosis rate and improve the diagnosis and treatment. Methods The clinical data of 62 cases of ovarian corpus luteum rupture comlpicated with hemorrhage admitted in Maternal and Health Hospital of yangjiang from 2007 to 2011 were retrospectively analyzed. Results Among the 62 cases, 14 cases （22. 58% ） achieved suc- cess by conservative treatment, 48 cases （77.42%） underwent surgical treatment, including 4 cases （8.33 % ） of laparoscopic treatment. Thirty cases（48.39% ） were misdiagnosed. Conclusion The misdiagnosis rate of corpus luteum rupture is high, and should be paid attention to. Instead of surgery, quite a number of patients with corpus luteum rupture can be conservatively trea- ted. Laparotomy is the preferred method of operation, by removing corpus luteum and retain ovarian function by the greatest extent.

关 键 词：卵巢黄体破裂 误诊分析 保守治疗 手术治疗 

分 类 号：R711.75[医药卫生—妇产科学]