出血性输卵管炎23例临床分析

Clinical Analysis of 23 Cases with Acute Abdomen Caused by Hemorrhagic Salpingitis

目的 探讨出血性输卵管炎这一妇科急腹症的发病特点,以提高对本病的认识,减少误诊。方法 对1992年6月～2000年6月收治的23例出血性输卵管炎进行回顾性分析。结果 出血性输卵管炎极易与异位妊娠、卵巢破裂等其他妇科急腹症相混淆,本组3例计为出血性输卵管炎,16例误诊为异位妊娠,4例误诊为卵巢破裂,手术治疗19例,保守治疗4例,均痊愈出院。结论 本病病因多与近期宫腔操作史有关,可通过病史、血HCG检查及后穹隆穿刺与其他急腹症相鉴别,治疗以保守治疗为主。

Objective To study the features of hemorrhagic salpingitis and to improve our knowledge, and to reduce misdiagnosis. Methods This is a retrospective analysis of 23 patients with hemorrhagic salpingitis from June,1992 to June, 2000. Results It is similarities among hemorrhagic salpingitis,ectogic pregnancy,repture of ovary and so on. Of the 23 cases, 3 were diagnosed as admission, 16 were misdiagnosed as ectogic pregnancy , 4 were misdiagnosed as repture of ovary. All patients were completely recovered, of which 4 cases were treated medically, 19 cases surgically. Conclusion The precipitation of hemorrhagic salpingitis was associated with recent mtrauterine procedure. It can be made the differential diagnosed through the characters of the illness, blood HCG and the results of culdocentesis. Conservative management should be emphasized on therapy.