78例妇科急腹症患者的临床特征及诊治分析

目的：明确妇科急腹症的临床特征以减少误诊,总结不同疾病的治疗方法。方法：对2011年1月1日至2012年12月31日我院收治的78例妇科急腹症的病人（异位妊娠病人未包括在内）进行分析。结果：78例病人中,盆腔炎症35例,卵巢黄体破裂22例,卵巢囊肿蒂扭转11例,卵巢巧克力囊肿破裂7例,输卵管扭转1例,子宫肌瘤变性2例;急腹症病人的误诊率10.25%（8/78）,和同期收治妇科病人的误诊率1.16%（45/3876）相比,经统计学分析,P〈0.01,有极显著差异。结论：提高妇科急腹症的诊断能力是治疗病人的关键,腹腔镜可以起到诊断及治疗的双重目的。

Clinical characteristics,diagnosis and treatment of 78 cases of patients with gynecologic acute abdomen

Objectives： To identify the clinical characteristics of gynecological acute abdomen in order to reduce misdiagnosis and summarize the treatment methods of different diseases. Method： 78 cases of patients with gynecologic acute abdomen（ not including the patients with ectopic pregnancy） receiving treatment in our hospital between January 1,2011 and December 31,2012 were analyzed. Results： In the 78 patients,there were 35 cases of pelvic inflammation,22 cases of ovarian corpus luteum rupture,11 cases of torsion of ovarian cyst torsion,7 cases of ovarian chocolate cyst rupture,1 case of torsion of fallopian tube and 2 cases of uterine myoma degeneration; the misdiagnosis rate of acute abdomen patients was 10. 25%（ 8 /78）,and compared with the misdiagnosis rate of gynecological patients during the corresponding period,which was 1. 16%（ 45 /3876）,the difference between the 2 groups was statistically significant（ P〈0. 01）. Conclusion： Improving the diagnosis ability of gynecological acute abdomen is the key for treating patients. Laparoscopy can achieve the dual purposes of diagnosis and treatment.