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目的探讨卵巢黄体囊肿破裂的临床症状及较佳的治疗方案。方法对本院2005年1月至2011年10月收治的卵巢黄体破裂患者进行回顾性分析。结果黄体破裂多发生于月经周期第14～39d,与腹腔压力增高有一定关系,最常见临床症状为腹痛伴肛门坠胀感、妇科检查、B超、后穹窿穿刺,血β-hCG检查对诊断和鉴别诊断起着很重要的作用,根据病情轻重可选择保守治疗和手术治疗,手术治疗又以腹腔镜为首选。结论卵巢黄体囊肿破裂的发生诱因多为性交或外力,易被误诊为异位妊娠。
Objective To investigate the clinical symptoms of ovarian luteal cyst rupture and the better treatment plan. Methods The hospital from January 2005 to October 2011 were treated ruptured ovarian lumbar patients were retrospectively analyzed. Results luteal fractures occurred in the menstrual cycle 14 to 39d, and increased abdominal pressure have a certain relationship, the most common clinical symptoms of abdominal pain with anal bulge, gynecological examination, B-, culdinal puncture, blood β-hCG examination of the diagnosis And differential diagnosis plays a very important role, according to the severity of the disease can choose conservative treatment and surgical treatment, laparoscopic surgery and surgery for the first choice. Conclusions The causes of ovarian luteal cyst rupture are mostly intercourse or external force and are easily misdiagnosed as ectopic pregnancy.