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目的探讨卵巢黄体囊肿破裂的临床特征、误诊原因、处理以及保守治疗适应证。方法对2008～2011年我院收治的120例卵巢黄体囊肿破裂进行回顾性分析。结果 120例患者中,发生于月经周期20～30d99例(82.5%),月经周期31～45d21例(17.5%);发生于左侧卵巢51例(42.5%),右侧卵巢69例(57.5%);75例(62.5%)发生在性生活之后,5例(4.17%)为负重或大便后发病,40例(33.33%)诱因不明。行后穹隆穿刺术92例,抽出不凝固血液89例(96.74%),未抽出血液3例(3.26%)。保守治疗83例(69.2%),手术治疗37例(30.8%),均痊愈出院。结论黄体囊肿破裂是发生于月经后半期,以突发下腹痛为主要表现的妇科急腹症,多可经保守治疗治愈。
Objective To investigate the clinical characteristics of ovarian luteal cyst rupture, misdiagnosis reasons, treatment and indications of conservative treatment. Methods A retrospective analysis of 120 cases of ovarian luteal cyst rupture treated in our hospital from 2008 to 2011 was retrospectively analyzed. Results Among the 120 patients, 99 cases (82.5%) had menstrual cycle between 20 and 30 days, and 21 cases (31.5%) had menstrual cycle between 31 and 45 days; 51 cases (42.5%) had left ovary and 69 cases (57.5% ); 75 cases (62.5%) occurred after sexual life, 5 cases (4.17%) had weight-bearing or stool after onset, 40 cases (33.33%) were unknown. Ninety cases were performed with posterior fornix punctures, 89 cases (96.74%) with no coagulation blood and 3 cases (3.26%) without blood were drawn out. Conservative treatment of 83 cases (69.2%), surgical treatment of 37 cases (30.8%), were cured and discharged. Conclusion The rupture of luteal cyst occurs in the second half of menstruation and the gynecologic acute abdomen is the main manifestation of lower abdominal pain. It can be cured by conservative treatment.