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近年来,子宫内膜异位症的发病率逐年上升.卵巢是子宫内膜异位症的好发部位,卵巢子宫内膜异位囊肿(俗称巧克力囊肿,简称巧囊)破裂已成为妇科急腹症之一.由于巧囊破裂后粘稠的囊液流入腹腔,刺激腹膜,造成急腹症,常被误诊为外科急症.现将我院1989年～1993年收治的巧囊破裂16例做一临床分析.1 临床资料1.1 发病情况 本组16例占同期住院经手术及病理证实的子宫内膜异位症344例的4.7%,占同期住院巧囊104例的15.4%,术前确诊7例,误诊9例,误诊率为56.2%.误诊包括:急性阑尾炎6例,卵巢囊肿蒂扭转2例,宫外孕1例.
In recent years, the incidence of endometriosis increased year by year.Ovarian is a good site of endometriosis, ovarian endometriosis (commonly known as chocolate cyst) rupture has become a gynecological acute abdomen One of the disease.As a result of rupture of the clever cystic fluid into the abdominal cavity, stimulate the peritoneum, resulting in acute abdomen, often misdiagnosed as surgical emergency .Chinese now in our hospital from 1989 to 1993, Qiao cracked one case of 16 cases Clinical analysis 1.1 Clinical data 1.1 The incidence of 16 cases of this group accounted for the same period hospitalized and pathologically confirmed endometriosis in 344 cases of 4.7%, accounting for the same period in-hospital clever 104 cases of 15.4%, preoperative diagnosis of 7 cases Misdiagnosis rate was 56.2%. Misdiagnosis included 6 cases of acute appendicitis, 2 cases of ovarian cyst torsion and 1 case of ectopic pregnancy.