卵巢子宫内膜异位囊肿破裂的临床分析并文献复习

Clinical analysis and literature review of ovarian endometriosis cyst rupture

目的分析卵巢子宫内膜异位囊肿破裂的诊断及治疗。方法回顾性分析16例卵巢子宫内膜异位囊肿破裂患者的临床资料。结果 16例患者均因突发剧烈腹痛入院,10例患者术前诊断为卵巢子宫内膜异位囊肿破裂,确诊率62.5%;6例患者误诊,误诊率37.5%。结论卵巢子宫内膜异位囊肿破裂误诊率高,根据病史和体格检查,血清糖类抗原125(CA125)水平,结合彩超及阴道后穹窿穿刺术有助于诊断卵巢子宫内膜异位囊肿破裂。目前手术是该病主要的治疗手段,保守性腹腔镜手术是主要的手术方式。

Objective To analyze diagnosis and treatment of ovarian endometriosis cyst rupture.Methods Clinical data of 16 patients with ovarian endometriosis cyst rupture were retrospectively analyzed.Results All 16 patients were admitted due to sudden severe abdominal pain,and 10 cases among them were diagnosed as ovarian endometriosis cyst rupture before operation,with diagnosis rate as 62.5%.There were 6 misdiagnosed cases,with misdiagnosis rate as 37.5%.Conclusion Due to high misdiagnosis rate of ovarian endometriosis cyst rupture,combination of medical history,physical test,serum carbohydrate antigen 125（CA125） level,color Doppler ultrasound and posterior vaginal fornix paracentesis is helpful for diagnosis.Treatment measures mainly include surgery method,and conservative laparoscopic surgery is the main surgical way.