妇科急腹症临床分析

目的明确妇科常见急腹症的临床特征以减少误诊,并探讨不同疾病的治疗原则。方法对315例患者的临床资料进行回顾性分析。结果315例患者包括11个病种,分为腹腔内出血性疾病(91.7%),感染性疾病(6.0%)肿瘤并发症(2.2%),和其他疾病(1.3%)4大类。内出血疾病为以手术治疗为主,而感染性疾病以保守治疗为主。异位妊娠、黄体破裂、出血性输卵管炎、急性阑尾炎容易相互误诊。结论妇科急腹症诊断中应详细询问病史,尤其是月经史、近期宫腔手术史及不洁性生活史,血、尿HCG检测及B超检查、后穹隆或腹腔穿刺对诊断及鉴别诊断具有重要意义。

Gynecologic Acute Abdomen:Clinical analysis

Objective To reduce the misdiagnosis our study aims to clarify the clinical Features of common gynecologic acute abdomen and explore the principle of treatment of different diseases.Methods Clinical Data on 315 cases of patients hospitalized as gynecologic acute abdomen from January,2004 to December,2006 was retrospectively studied.Results Three hundred and fifteen cases including 11 kinds of diseases were divided into 4 categories-intraperitoneal hemorrhage(91.7%),infectious diseases(6.0%)tumors complications(2.2%),and other diseases(1.3%).abdominal bleeding disorders and infectious diseases were treated with operations and conservative measures respectively.Ectopic pregnancy,ruptured corpus luteum,hemorrhagic salpingitis and acute appendicitis were very easy to be misdiagnosed with each other.Conclusion To make a correct diagnosis,the history should be asked in details,especially the menstrual history,previous uterine surgery and experience with dirty sexual intercourse.Moreover analysis of blood and urine HCG,ultrasound examination,culdocentesis and abdominocentesis play important roles in diagnosis and differential diagnosis.