卵巢黄体囊肿破裂53例临床特征及相关因素分析

Investigation of Clinical Characteristics and Related Factors of Rupture of Ovarian Corpus Luteum Cyst

目的 :探讨卵巢黄体囊肿破裂的临床特征及相关因素。方法 :对 5 3例卵巢黄体囊肿破裂患者进行回顾性分析。结果 :均发生于卵巢功能旺盛时期 ,41例 ( 77.4% )发生于月经黄体 ,12例 ( 2 2 .6% )发生于妊娠黄体 ;3 1例 ( 5 8 5 % )发生于右侧卵巢 ,2 2例 ( 41 5 % )有性交等紧张性活动的发病诱因 ,44例 ( 83 0 % )以突发性下腹痛为主要就医原因 ,48例( 90 6% )不伴阴道流血 ,5 1例 ( 96 2 % )后穹隆穿刺抽出不凝血 ,3 7例 ( 69.8% )初步诊断误诊。结论 :卵巢黄体破裂既发生于月经黄体 ,又发生于妊娠黄体 ,以右侧卵巢多见 ,常误诊为异位妊娠破裂等 ,阴道流血是鉴别诊断的主要指标之一。

Objective:To investigate clinical characteristics and related factors of rupture of ovarian corpus luteum cyst(ROCLC).Methods: This retrospective study was carried out with 53 cases of ROCLC.Results: All patients with ROCLC were in vigorous phase of ovarian function,77.4% in the menstrual corpus luteum,22.6% in the pregnant corpus luteum, 58.5% in the right ovary, 41.5% with strenuous activity such as sexual intercourse,83% with sudden lower abdominal pain as the first complaint,90.6% without vaginal bleeding,96.2% with the positive of culdocentesis,69.8% were misdiagnosed in the first diagnosis.Conclusions: ROCLC takes place in vigorous phase of ovarian function,and mostly in the latter half phase of menstrual cycles, the pregnant corpus luteum and the right ovary.This disease is easily misdiagnosed as the rupture of ectopic pregnancy or appendicitis.Vaginal bleeding is one of the most important indicators in the differential diagnosis.