摘要
目的：回顾性分析125例妇科急症的诊断和鉴别诊断。方法：选择2006年5月至2010年6月我院就诊妇科急症125例，进行分析总结。结果：在妇科急症中，异位妊娠的发病率为84％，占很大比例，其次是卵巢破裂、外阴血肿、出血性输卵管炎和卵巢囊肿蒂扭转；异位妊娠的误诊比例最高，为43．8％，其次是卵巢破裂31.3％和卵巢囊肿蒂扭转12．5％，三者大多都易误诊为急性阑尾炎，首诊到外科就诊，早早孕合并卵巢囊肿破裂误诊异位妊娠3例。结论：异位妊娠在妇科急症中发病率高，且容易误诊，早早孕合并卵巢囊肿破裂出血与异位妊娠不易鉴别。对于妇科急症应进行正确的诊断和认真细致鉴别诊断。
Objective： the diagnosis and differential diagnosis of 125 cases gynaecologic emergencies were analyzed retrospectively. Methods： analyze and summary 125 patients selected with gynaecologic emergencies from May 2006 to June 2010 in our hospital visiting. Results： In the gynecological emergency,the incidence of ectopic pregnancy was 84% .it takes a great proportion, followed by the Ovariorrhexis, episiohematoma, hemorrhagic salpingitis, Ovarian Tumors with Twisted Pedicle; it is the highest percentage which is 43.8% for misdiagnosis of ectopie pregnancy, followed by the Ovariorrhexis （31.3% ） and Ovarian Tumors with Twisted Pedicle （12.5%）.most of the three gynecological emergencies misdiagnosed acute appendicitis easily. Surgical visiting when first diagnosis.3 cases with very early pregnancy complicated rupture of ovarian cyst wered misdiagnased ectopic pregnancy. Conclusion： It is high incidence of eetopic pregnancy in gynaecologie emergencies and easily misdiagnosed, and it is difficult to identification both very early pregnancy complicated rupture of ovarian cyst and ectopie pregnancy.so it should be accurate diagnosis and differential diagnosis by careful observation for gynaecologie emergencies.
关键词
妇科急症
异位妊娠
卵巢破裂
gynaecologic emergencies
ectopie pregnancy
Ovariorrhexis
