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目的:探讨卵巢黄体囊肿破裂的诱因、临床症状、鉴别诊断及治疗方案。方法:对44例卵巢黄体囊肿破裂患者进行临床分析。结果:黄体囊肿破裂多发生于月经周期第14~40天,与腹腔压力骤增、炎症有一定关系,最常见的症状为腹痛伴肛门坠胀感。病史、妇科检查、B超、后穹窿穿刺、血β-hCG检查对诊断和鉴别诊断、治疗方案很重要,但早早孕及不全流产合并卵巢黄体囊肿破裂不宜及时明确诊断,需要结合诊刮病理见到绒毛后方能确诊。根据病情轻重可选择保守治疗和手术治疗,手术方式可根据患者有无腹腔镜手术禁忌及患者意愿选择开腹或腹腔镜手术,行卵巢修补或卵巢楔形切除术。结论:卵巢黄体囊肿破裂的发生诱因多发生于性交后,外力、盆腔炎症、早期妊娠流产后合并卵巢黄体囊肿破裂易误诊宫外孕或盆腔炎性包块。
Objective: To investigate the causes, clinical symptoms, differential diagnosis and treatment of ovarian luteal cyst rupture. Methods: The clinical analysis of 44 cases of ovarian luteal cyst rupture patients. Results: Luteal cyst rupture occurred in the first 14 to 40 days of the menstrual cycle, and abdominal pressure surge, inflammation have a certain relationship, the most common symptoms of abdominal pain with anal bulge. Medical history, gynecological examination, B-, culdocentesis, blood β-hCG examination on the diagnosis and differential diagnosis, treatment is very important, but the early pregnancy and incomplete abortion with ruptured ovarian luteal cyst should not be timely and clear diagnosis, combined with the diagnosis of pathological see see see After the villi can be diagnosed. According to the severity of the disease can choose conservative treatment and surgical treatment, the surgical approach can be based on patients with or without laparoscopic surgery and the patient’s intention to choose laparotomy or laparoscopic surgery, ovarian repair or ovarian wedge resection. Conclusion: The causes of ovarian luteal cyst rupture occurred after intercourse, external force, pelvic inflammatory disease, early pregnancy miscarriage ovarian luteal cyst rupture often misdiagnosed ectopic pregnancy or pelvic inflammatory mass.