卵巢子宫内膜异位囊肿破裂12例分析

目的:提高对卵巢子宫内膜异位囊肿破裂发病特点的认识。方法:对我院2002年1月～2005年12月收治的卵巢子宫内膜异位囊肿破裂患者的临床资料进行回顾性分析。结果:12例卵巢子宫内膜异位囊肿破裂患者术前误诊9例,破裂多发生在围经期,表现为剧烈腹痛、且腹膜刺激症明显,多数患者体温正常,部分患者白细胞升高,CA125多数升高。结论:卵巢子宫内膜异位囊肿破裂术前很易误诊,提高对其发病特点的认识,有利于提高诊断准确率。

Analysis on 12 Cases of Rupture of Ovarian Endometrioma

Objective: To investigate the charactericstics of the rupture of ovarian endometrioma. Methods: Clinical data of rupture of ovarian endometrioma from Jan 2002 to Dec 2005 were retrospectively analysed. Results: 9 of 12 cases were misdiagnosed. Rupture often occurred in perimensture. The main symptoms were acute abdomen pain. Most of patients' temperature were normal. Part of patients' white blood cell and most of patients' serum CA125 were elevated. Conclusions: The rupture of ovarian endometriaoma were disposed to be misdiagnosed. The characteristics of the disease should be recognized better.