妇科急腹症468例诊断与鉴别诊断

目的：探讨妇科急腹症的诊断及鉴别诊断方法。方法：对１９９４年１月￣１９９９年１２月我院收治的妇科急腹症病人４６８例的临床资料作回顾性分析。结果：盆腔炎占发病率的４４．０％。异位妊娠占发病率的３６．７％。两者为最常见的科科急腹症。盆腔炎、异位妊娠、卵巢破裂、出血性输贸管炎、急性阑尾炎易混淆。根据病人的病史特征,如停经史、近期不洁性生活史及宫腔操作史等,结合后穹窿穿刺及ＨＣＧ检查,可对妇科争腹症病人进

DIAGNOSIS AND DIFFERENTIAL DIAGNOSIS OF 468 CASES OF GYNECOLOGIC ACUTE ABDOMEN

objective:To study the methods of diagnosis and differential diagnosis of gynecologic acute abdomen. Methods:This is a retrospective analysis of 468 patients of gynecologic acute abdomen from January. 1994 to December, 1999. Results: Of the468 cases. 206were pelvic inflammatory disease, 172were ectopic pregnancy. They are the most common disease of gynecologic acute abdomen. Because of the similarities among pelvic inflammatory disease ectogic preg nancy repture of ovary hemosalpingitis and acute appendicitis. They shoud be identified one another.To study not only on the charactes of the illness such as amenorrhea history current sexual history operation history in uterine cavity and so on, but also on the results of culdocentesis and blood HCG. Which could help to make the differential diagnosis of the disease. Chnclusion: Culdocentesis is an important and efficitis method in the differential diagnosis of gynecolngic acute abdomen.