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目的 探讨妇科急腹症的诊断及治疗。方法 对我院自 1995年 1月～ 2 0 0 2年 6月收治的妇科急腹症 2 86例进行回顾性分析。结果 1995年 1月～ 1999年 12月共收治急腹症 184例 ,误诊 11例 ,误诊率 5 98% ,177例行剖腹探查术 ,住院时间平均 8天。 2 0 0 0年 1月～ 2 0 0 2年 6月共收治急腹症 10 2例 ,行腹腔镜手术诊治 97例 ,确诊率 10 0 % ,平均住院时间 4天。结论 妇科急腹症的诊断应结合病史、体征及辅助检查来综合判断。腹腔镜的开展 ,对提高急腹症的诊断、治疗技术 ,具有重要意义。
Objective To investigate the diagnosis and treatment of gynecologic acute abdomen. Methods A retrospective analysis was performed on 286 cases of gynecologic acute abdomen admitted in our hospital from January 1995 to June 2002. Results From January 1995 to December 1999, 184 cases of acute abdomen were admitted, 11 cases were misdiagnosed, and the rate of misdiagnosis was 988%. 177 cases underwent laparotomy and the average hospital stay was 8 days. Between January 2000 and June 2002, 102 cases of acute abdomen were admitted, 97 cases were diagnosed by laparoscopic operation, the diagnosis rate was 100% and the average hospitalization time was 4 days. Conclusion The diagnosis of gynecological acute abdomen should be combined with history, signs and laboratory tests to comprehensively judge. Laparoscopy carried out to improve the diagnosis and treatment of acute abdomen technology, is of great significance.