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目的探讨绝经后女性急腹症的诊断及治疗方法。方法回顾性分析2001年1月至2006年1月收治的86例绝经后妇科急腹症患者,对其发病特点、诊治方法加以分析总结。结果86例患者,卵巢囊肿蒂扭转或破裂46例;盆腔脓肿(含宫腔积脓)17例;肌瘤并发尿潴留7例;卵巢囊肿并尿潴留4例,单纯性尿潴留5例,萎缩性膀胱炎6例;子宫肉瘤1例。其中,手术治疗61例,占全部病例的70.9%;非手术治疗25例,占全部病例的29.1%。结果治愈70例;好转14例;疾病进展1例;死亡1例。结论绝经后妇科急腹症,发病隐匿,应运用多种诊断方法进行诊断,治疗以手术为主,强调个体化治疗方案。
Objective To investigate the diagnosis and treatment of post-menopausal women with acute abdomen. Methods A retrospective analysis of 86 patients with post-menopausal gynecologic acute abdomen admitted from January 2001 to January 2006 was made. The incidence characteristics, diagnosis and treatment methods were analyzed and summarized. Results In 86 patients, there were 46 cases of torsion or rupture of ovarian cyst, 17 cases of pelvic abscess (including uterine empyema), 7 cases of fibroids complicated with urinary retention, 4 cases of ovarian cyst with urinary retention, 5 cases of simple urinary retention, Cystitis in 6 cases; 1 case of uterine sarcoma. Surgical treatment of 61 cases, accounting for 70.9% of all cases; non-surgical treatment of 25 cases, accounting for 29.1% of all cases. Results cured 70 cases; improved in 14 cases; 1 case of disease progression; 1 case of death. Conclusions Postmenopausal women with acute abdomen, the incidence of occult, should be used to diagnose a variety of diagnostic methods, the treatment of surgery-based, emphasizing individualized treatment programs.