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目的评价卵巢巧克力囊肿破裂术前的诊断、鉴别诊断与腹腔镜的治疗等相关因素。方法分析28例手术病理证实的卵巢巧克力囊肿破裂患者发病年龄、临床表现、术前诊断、手术所见等,进行诊断、鉴别诊断,及腹腔镜的治疗。结果术前确诊10例,误诊18例,本病特点为月经期及其前后1周左右突发下腹疼痛伴明显腹膜刺激症状。后穹隆穿刺抽出咖啡色液体,且无闭经、阴道不规则流血及休克。血、尿HCG阴性。结论卵巢巧克力囊肿破裂发病呈上升趋势,误诊率高,一经确诊,应立即手术。术中尽量切除病灶,彻底冲洗腹腔。术后药物治疗5~6个月,预防复发,定期随访。
Objective To evaluate the diagnosis of ovarian chocolate cyst rupture, differential diagnosis and laparoscopic treatment and other related factors. Methods The age, clinical manifestations, preoperative diagnosis and surgical findings of 28 cases of ovarian chocolate cyst rupture confirmed by surgery and pathology were analyzed. The diagnosis, differential diagnosis and laparoscopy were performed. Results Preoperative diagnosis of 10 cases, misdiagnosed 18 cases, the disease characterized by menstrual period and about 1 week before and after the sudden onset of abdominal pain with significant peritoneal irritation. After the dome puncture out brown liquid, and no amenorrhea, vaginal irregular bloodshed and shock. Blood, urine HCG negative. Conclusions The incidence of ovarian chocolate cyst rupture is on the rise, and the rate of misdiagnosis is high. Once diagnosed, surgery should be performed immediately. Intraoperative as possible removal of the lesion, wash the abdominal cavity thoroughly. Postoperative drug treatment 5 to 6 months, prevention of recurrence, regular follow-up.