妇科急腹症217例临床分析

目的:分析和探讨妇科急腹症的发病构成、临床特点、诊治方法。方法:对217例急腹症患者资料进行回顾性分析。结果:急腹症中前三位疾病分别是异位妊娠(71.0%)、急性盆腔炎(12.4%)、卵巢破裂(9.2%);18例被误诊,术前与术后诊断完全符合率91.7%(199/217)。手术治疗173例(79.7%),保守治疗44例(20.3%),全部痊愈出院,无死亡病例。结论:妇科急腹症起病急、病种多、发展迅速,诊断要详细询问病史,对体征和辅助检查结果要全面分析,必要时及时请相关科室会诊,并行腹探查。

Clinical Analysis of 217 Cases of Gynecologic Acute Abdomen

Objective：To analyze the incidence and composition of gynecologic acute abdomen,clinical features,diagnosis and treatment.Methods：217 cases of gynecologic acute abdomen were retrospectively analyzed.Results：The acute abdomen in the top three were ectopic pregnancy（71.0%）,acute pelvic inflammatory disease（12.4%）and ovarian rupture（9.2%）;18 cases were misdiagnosed,full compliance rate of preoperative and postoperative diagnosis was 91.7%（199/217）.173 patients（79.7%）underwent surgical treatment,44 cases（20.3%）accepted conservative treatment,all patients discharged without deaths.Conclusion：The gynecologic acute abdomens were kinds of emergency with rapid development.In diagnosis,doctors should inquire about the detail disease history,and comprehensive analyze the physical signs and laboratory examinations.If there was necessary,invite related department timely for consultation and execute parallel laparotomy.