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目的:了解妇科急症误诊为急性阑尾炎的常见原因。方法:回顾近5 a山西省肿瘤医院临床妇科急症误诊为急性阑尾炎37例患者的临床资料。结果:37例误诊病例中右侧卵巢囊肿蒂扭转18例,右侧异位妊娠破裂15例,右卵巢滤泡或黄体破裂4例。结论:妇科急症与急性阑尾炎有类似临床表现,易造成误诊。
Objective: To understand the misdiagnosis of gynecological emergency as a common cause of acute appendicitis. Methods: The clinical data of 37 patients with acute appendicitis misdiagnosed as clinical gynecological emergency in Shanxi Cancer Hospital during the past 5 years were retrospectively reviewed. Results: In the 37 misdiagnosed cases, there were 18 cases of right ovarian cyst torsion, 15 cases of right ectopic pregnancy rupture, 4 cases of right ovarian follicular or corpus luteum rupture. Conclusion: There are similar clinical manifestations of acute gynecological appendicitis and acute appendicitis, easily lead to misdiagnosis.