卵巢巧克力囊肿破裂28例临床分析

目的:为分析卵巢巧克力囊肿破裂的临床特点,降低其误诊率。方法:对卵巢巧克力囊肿破裂病例28例进行回顾性分析。结果:卵巢巧克力囊肿破裂病例为同期子宫内膜异位症手术病例的6.8%,主要临床特点为围月经期、排卵期突发下腹痛,伴严重的腹膜刺激征,体温及白细胞计数升高,但无休克及贫血表现,误诊率高达64%。结论:应通过详细询问病史,熟悉临床特点,结合辅助检查,明确诊断。确诊后须立即手术,术后辅以药物治疗。

Clinical analysis on 28 cases with rupture of chocolate cyst of ovary

Objective: To analyze the clinical characters of rupture of chocolate cyst of ovary, reduce misdlagnosis rate. Methods:Clinical data of 28 cases with rupture of chocolate cyst of ovary were analyzed retrospectively. Results: Cases with rupture of chocolate cyst of ovary accounted for 6. 8% of total cases of endometriosis treated by operations in the hospital at the same time. The main clinical characters were menstrual period, the sudden onset of severe lower abdominal pain during pre-menstruation and ovulatory period, accompanied by signs of severe peritoneal irritation, elevations of temperature and leukocyte count, not accompanied by shock and anemia. The misdiagnosis rate was 64%. Conclusion: A correct diagnosis lies in the awareness of medical history, recognition of clinical characters and accessory ex-aminations. Operation must be carried out when the diagnosis is confirmed, drugs after operation is necessary.