卵巢子宫内膜异位囊肿破裂临床分析

ANALYSIS THE RUPTURE OF OVARIAN CYSTWITH ENDOMETRIOSIS

目的：了解卵巢子宫内膜异位囊肿破裂的临床特点及手术方式。方法：观察１４例卵巢子宫内膜异位囊肿破裂病例的临床表现，误诊原因及手术结果与效果。结果：卵巢子宫内膜异位囊肿破裂６３．６％发生于围月经期，血压均无明显变化，手术保留部分卵巢组织１０例，４例行根治性手术。结论：卵巢子宫内膜异位囊肿多于围月经期或排卵期破裂，一般不出现休克症状，对年轻患者采用保留部分卵巢组织手术方式。

Objective:To detect the clinical characteristics and operating way of the rapture of endometrial cyst.Methods:Observing the clinical manifestations ,operating resulfs and effects of the fourteen cases of rupture of endometrial cyst.Makeing clear the cause of erroneous diagnoses.Results:63.6 percent of the rupture come on during the beginning and the end of the menstruation.No change is effected in blood pressure.In the operation of ten cases.Part of the ovarian tissue is reserved,and in the other four cases,radical operation is performed.Conclusion:Ruptures of endometrial cyst mostly occurduring the beginning and the end of the menstruation or ovalating period,The patient scarcely goes into shock.For a young Patient ,Part of the ovarian tissue should be reserved in operation while for a female near her dimacteric or one suffering from serious pathological changes,a radical operation is supposed to be adopted.