黄体破裂临床分析

Clinical Analysis of Corpus Iuteum

目的 :探讨卵巢黄体破裂的诊断及处理。方法 :对 2 6例卵巢黄体破裂患者的年龄、婚育史、临床症状、诊断及治疗方式进行分析。结果 :2 6例患者中 ,17例行保守治疗后痊愈 (占 65 .4 % ) ,9例行手术治疗 (占 3 4 .6% ) ,包括卵巢部分切除术、附件切除术。手术治疗术中腹腔内出血情况 :出血量≥ 5 0 0ml者 7例 (占 86.6% )。其中出血 5 0 0～ 10 0 0ml者 3例 (占 4 2 .2 % )、≥ 10 0 0ml者 4例 (占 4 4 .4 % )。结论 :黄体破裂可引起大量的腹腔内出血 ,危及患者生命 ,故仍需要及时的手术干预。

Objective:To study the diagnosis and treatment of cases with ruptured corpus luteum.Methods:There were 26 cases of ruptured corpus luteum admitted in our hospital from 1.1996 to 12.2000.The age, parity, clinical features,diagnosis, and treatment were analyzed. Results: conservation treatments were given in 17 of 26 cases, Whereas surgical invasion was done in 9 cases. Surgical management included lutectomy, wedge excision, and oophorectomy. During operations, there was about 500 ml of bleeding in 7 cases (86.6%),500～1000 ml in 3 cases,and more than 1000 ml in 4 cases respectively.Conclusion: Rupture of corpus luteum could cause a large amount of intra abdominal bleeding, which is a life threatening surgical condition. So the surgical invasion is still required in time.