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目的总结女性妇科疾病误诊阑尾穿孔的常见疾病和原因。方法收集我院1994年12月至2003年11月期间女性妇科疾病误诊阑尾穿孔22例进行回顾性分析。结果在误诊阑尾穿孔的女性患者中,右侧输卵管炎12例,盆腔炎5例,右侧黄体破裂3例,卵巢囊肿蒂扭转2例。结论在诊断女性急腹症患者时应详细采集病史,仔细查体,进行必要的辅助检查综合分析,总结经验教训,防止差错事故。
Objective To summarize the common diseases and causes of misdiagnosis of appendix perforation in female gynecological diseases. Methods Twenty-two cases of misdiagnosed appendix perforation of female gynecological diseases in our hospital from December 1994 to November 2003 were retrospectively analyzed. Results In female patients with misdiagnosed appendix perforation, there were 12 cases of right salpingitis, 5 pelvic inflammatory disease, 3 cases of right corpus luteum rupture and 2 cases of ovarian cyst torsion. Conclusions The diagnosis of female patients with acute abdomen should be detailed history of the disease, a detailed examination of the body, the necessary auxiliary examination comprehensive analysis, lessons learned to prevent errors and accidents.