盆腔妇科病误诊阑尾炎12例临床分析

Clinical analysis of 12 cases of gynecological infections acute abdomen misdiagnosed as acute suppurative ap-pendicitis

目的 总结盆腔妇科病误诊阑尾炎的原因,提出减少误诊的方法.方法 对12例误诊为急性化脓性阑尾炎的盆腔妇科病患者临床资料进行分析,总结误诊的经验教训.结果 急性化脓性盆腔炎6例,右侧输卵管炎并积脓3例、卵巢囊肿并感染3例.结论 临床经验不足、妇科相关病史及检查的疏漏或误导、过分依赖辅助检查、未请相关科室会诊是妇科盆腔炎误诊的主要原因.

Objective To explore the reasons of gynecological infections acute abdomen misdiagnosed as acute suppurative appendicitis and put forward methods to reduce the misdiagnosis. Methods To review and analyze the clinical data of 12 patients with gynecological infectious who had been misdiagnosed as acute suppurative appendicitis. Results The acute pyogenic pelvic inflammatory disease in 6 cases, right salpingitis and empyema in 3 cases, ovarian cysts in 3 cases. Conclusion The lack of clinical experience and examination, omissions and misleading relevant gynecological history, over-reliance on secondary inspections, and lack of consultation are the main reasons of gynecological infectious diseases misdiagnosis.