目的　探讨妇科急腹症误诊为阑尾炎的原因,提出避免误诊的方法。方法　总结、分析了24例妇科急腹症临床症状和体征。结果　右侧的输卵管妊娠破裂、卵巢囊肿蒂扭转、出血性输卵管炎、卵巢黄体破裂、化脓性盆腔炎为常见误诊为阑尾炎的疾病。结论　没有仔细询问妇科相关病史,未作双合诊及妇科相关的辅助检查是妇科急腹症误诊的主要原因 Objective To investigate the causes of misdiagnosis of gynecologic acute abdomen as appendicitis and to propose ways to avoid misdiagnosis. Method summary, analysis of 24 cases of gynecological acute abdomen clinical symptoms and signs. The results of the right tubal pregnancy rupture, ovarian cyst torsion, hemorrhagic salpingitis, corpus luteum rupture, suppurative pelvic inflammatory disease is a common misdiagnosed as appendicitis disease. Conclusions The main reason for the misdiagnosis of gynecologic acute abdomen was not investigated without careful inquiry about gynecological related medical history, no double coexistence and gynecological related auxiliary examination