18岁以下妇科急腹症237例临床特点分析  

Gynecological acute abdomen in patients age under 18： an analysis of 237 cases

作　　者：刘辉[1] 葛彦欣[1] 相燕洁 张小丽[2] Liu Hui;Ge Yanxin;Xiang Yanjie;Zhang Xiaoli(Department of Reproductive Medicine, Rizhao People＇s Hospital of Shandong Province, Rizhao 276826, Chin)

机构地区：[1]山东省日照市人民医院生殖医学科,276826 [2]山东省日照市人民医院妇科,276826

出　　处：《中华妇产科杂志》2018年第5期304-307,共4页Chinese Journal of Obstetrics and Gynecology

摘　　要：目的探讨18岁以下妇科急腹症患者中常见疾病的构成、临床表现、诊断及治疗。方法收集2013年6月—2016年11月期间在山东省日照市人民医院住院的18岁以下的妇科急腹症患者237例，分为Ⅰ组（10岁以下，49例）及Ⅱ组（10~18岁，188例），总结分析两组患者的首诊科室、各类疾病的构成比、临床表现及治疗方式。结果Ⅰ组患者中首诊于妇科的构成比（18.4%，9/49）明显低于Ⅱ组（69.1%，130/188），两组比较，差异有统计学意义（P〈0.01）。两组患者中各类疾病的构成比有所不同，Ⅰ组中卵巢肿瘤（59.2%，29/49）、生殖器官发育异常（10.2%，5/49）、卵巢扭转（10.2%，5/49）的构成比明显高于Ⅱ组，而Ⅱ组中的妊娠相关疾病（37.2%，70/188）明显多于Ⅰ组，两组分别比较，差异均有统计学意义（P〈0.01）。结论临床医师应对妇科因素所致的儿童及青少年急腹症有足够重视，注意鉴别诊断，在选择治疗方式时应充分考虑患者年龄的特殊性，尽量保护其正常的生长发育和生理功能。ObjectiveTo investigate the constituent ratio, clinical manifestation, diagnosis and treatment of gynecologic acute abdomen in patients age under 18.MethodsA retrospective study was conducted on 237 patients under 18 years old who had been admitted in Rizhao People′s Hospital from June 2013 to November 2016. The patients were divided into two groups： groupⅠ （under ten years old, 49 cases） and group Ⅱ （ten to eighteen years old, 188 cases） . The first visit departments, constituent ratio, clinical manifestations and treatment methods of the two groups were summarized and analyzed.ResultsThe proportion of first visit department was gynecology department in the group Ⅰwas lower than that in group Ⅱ [18.4% （9/49） versus 69.1% （130/188） , P〈0.01]. The proportion of diseases in the two groups was different; the proportion of ovarian tumors （59.2%, 29/49） , genital malformations （10.2%, 5/49） and ovarian torsions （10.2%, 5/49） in group Ⅰ were significantly higher than those in group Ⅱ, while the pregnancy related diseases in group Ⅱ （37.2%, 70/188） was significantly higher than that in group Ⅰ （P〈0.01） .ConclusionsClinicians should pay enough attention to the acute abdomen caused by gynecological factors in childhood and adolescence. The differential diagnosis of acute abdomen should pay attention to. In the choice of treatment methods, we should give full consideration to the special age, and try to maintain their normal growth and physiological function.

关 键 词：急腹症 诊断 鉴别 儿童 青少年 

分 类 号：R711[医药卫生—妇产科学]