41例卵巢黄体破裂临床分析

[背景 ]卵巢黄体破裂是妇科急腹症之一 ,误诊率较高 .[病例报告 ]对 41例经手术及病理检查确定诊断的卵巢黄体破裂进行了临床分析 ,发病年龄为 2 0～ 41岁 ,平均 2 9岁 ;多在月经周期后半期发病 ,占 6 5 % ;发生于左侧卵巢 2 1例 ,右侧卵巢 2 0例 ;腹腔内出血为 15 0～ 2 5 0 0mL ,其中少于 5 0 0mL者2 5例 ,占 6 1% ;休克 7例 ,占 17% .黄体破裂出血量的多少与破口大小无关 .[讨论 ]本病因有腹痛、月经周期延长、不同程度的腹腔内出血及不规则阴道流血 ,易误诊为异位妊娠

Clinical analysis in 41 cases of rupture of corpus luteum

BACKGROUND The rupture of corpus luteum is one of acute abdomen in department of gynecology and its misdiagnosis rate is relatively high. CASE REPORT The clinical analysis was performed in 41 cases of rupture of corpus luteum diagnosed by operation and pathology. The age of onset was from 20 to 41 year old and the average age was 29 year old. The 65% cases were happened in the latter half of menstrual cycle , and 21 cases were happened at left ovary and 20 cases at right one. The intrapritoneal hemorrhage is 150～2?500?mL, in wihch 25 cases(61%) were less than 500mL. 7 cases(17%) were in shock and the amount of hemorrhage of rupture of corpus luteum was not related with the split size. DISCUSSION The rupture of corpus luteum had abdominal pain, intrapritoneal hemorrhage and irregular colporrhagia to varying degrees, and therefore it was easily misdiagnosed as heteropotic pregnancy.