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目的:探讨盆腔包裹性积液误诊的原因及治疗。方法:回顾性分析常州市妇幼保健院2008年4月～2009年10月经腹腔镜手术及病理证实的包裹性积液误诊为卵巢或输卵管囊肿、积水而行手术47例患者的临床资料,并对治疗效果进行随访。结果:盆腔包裹性积液术前诊断率低,术前误诊为输卵管积水16例,占34.0%,误诊为卵巢子宫内膜异位囊肿6例。47例术后经1年随访,仅3例复发,治愈率达93.6%。结论:盆腔包裹性积液行腹腔镜探查术是一种确切的诊断方法,盆腔包裹性积液多继发于术后或感染后,术中正确处理是预防其发生的主要对策,腹腔镜手术对盆腔包裹性积液诊治有一定优势。
Objective: To investigate the causes and treatment of misdiagnosis of pelvic fluid encapsulation. Methods: The clinical data of 47 cases of misdiagnosed as ovarian or fallopian tube cyst and hydrops in Changzhou MCH hospital from April 2008 to October 2009 after laparoscopic operation and pathology were retrospectively analyzed. The treatment effect was followed up. Results: The preoperative diagnosis rate of pelvic fluid encapsulation was low. Misdiagnosed as tubal hydrops before operation, 16 cases (34.0%) were misdiagnosed as 6 cases of ovarian endometriosis. 47 cases were followed up for 1 year, only 3 cases relapsed, the cure rate was 93.6%. Conclusions: Laparoscopic exploration of pelvic fluid is an accurate diagnostic method. Pelvic fluid is often secondary to postoperative or postoperative infection. Correct treatment during operation is the main strategy to prevent it. Laparoscopic surgery Pelvic fluid accumulation diagnosis and treatment have some advantages.