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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 the diagnosis and treatment of ovarian endometriosis cyst rupture. Methods The clinical data of 16 patients with ruptured ovarian endometriosis were retrospectively analyzed. Results All 16 patients were admitted to hospital due to sudden severe abdominal pain. Ten patients were diagnosed as having ovarian endometriosis rupture preoperatively, with a confirmed rate of 62.5%. Six patients were misdiagnosed with a misdiagnosis rate of 37.5%. Conclusions The misdiagnosis rate of ovarian endometriosis cyst rupture is high. It is helpful to diagnose ovarian endometriosis cyst rupture according to history and physical examination, serum carbohydrate antigen 125 (CA125) level, combined with ultrasonography and vaginal fornix puncture. Currently surgery is the main treatment of the disease, conservative laparoscopic surgery is the main surgical approach.