摘要
目的 分析妇科急腹症的常见临床特征以减少误诊。方法 回顾分析我院 1998年 1月 1日至 2 0 0 2年 12月 31日收治的妇科急腹症手术 2 73例。结果 2 73例中误诊 33例 ,卵巢黄体破裂、巧克力囊肿破裂、盆腔脓肿、出血性输卵管炎术前误诊率高。异位妊娠术前误诊少 ,但仍有相当部分在门诊诊为宫内早妊而行人流或清宫术。结论 详细询问病史 ,分析症状体征 ,重视后穹窿穿刺 ,合理利用尿妊试验、B超等辅助检查及不过份依赖单项检查结果 。
Objectives To analysis the clinical manifestation of gynecologic acute abdomen in order to reduce the misdiagnosis.Methods 273 cases were retrospectively analyzed,which were gynecologic acute abdomen operations done from January 11998 to December 312002.Results 33 cases out of 273 cases were misdiagnosed.Rupture of corpus luteum cyst,rupture of endometroma,pelvic abscess and hemorrhagic salpingitis have a hgiher pre operation misdiagnosis rate.Ectopic pregnancy has a low pre operation misdiagnosis rate,but there are still many cases misdiagnosed as normal intrauterine pregnancy and treated with dilatation and curettage operation.Conclusion It will do help to improve th clinical diagnosis of gynecologic acute abdomen,with detailed medical history enquiry,with analysis of the symptoms and signs,paying attention to the culdocentesis,pregnancy test,ultrasonography,and with the rational intepretation of the result of auxiliary examination.
出处
《福建医药杂志》
CAS
2003年第4期19-20,共2页
Fujian Medical Journal
