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卵巢巧克力囊肿(卵巢子宫内膜异位囊肿)破裂是妇科的一种急腹症,其发生率随子宫内膜异位发病率的增加而上升。囊肿可自发破裂,起病急,囊内液溢入腹腔可引起剧烈腹痛,如不及时正确处理,后果严重。国内自上世纪80年代始有报道,近几年已逐渐引起妇科医生的重视,但因无特殊症状,常易与其他急腹症混淆,引起误诊。我院1990年1月～2000年12月共收治卵巢巧克力囊肿破裂27例,误诊20例。现作一回顾性分析。
Ovarian chocolate cyst (ovarian endometriosis) rupture is a gynecological acute abdomen, the incidence of endometriosis with the incidence of increased incidence. Cysts can be spontaneous rupture, acute onset, intrauterine fluid overflow into the abdominal cavity can cause severe abdominal pain, if not properly handled in time, the consequences of serious. Domestic reports from the 1980s have been reported, in recent years has gradually attracted the attention of gynecologists, but no special symptoms, often confused with other acute abdomen, causing misdiagnosis. Our hospital from January 1990 to December 2000 were treated ovarian chocolate cyst rupture in 27 cases, misdiagnosed in 20 cases. Now make a retrospective analysis.