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目的探讨卵巢巧克力囊肿破裂的高危因素及其临床特点。方法对79例卵巢巧克力囊肿破裂患者及231例未破裂患者的临床特点、诊断及治疗方法进行回顾性分析。结果卵巢巧克力囊肿破裂组和未破裂组之间年龄、婚姻状况、分娩次数、住院天数及复发率均存在显著性差异(P﹤0.05)。卵巢巧克力囊肿破裂时,行子宫直肠窝内穿刺检查,大多(40/48)能抽出具有特征性的褐色黏稠液体,穿刺液行Hct检查,可见其值明显低于黄体破裂出血者及静脉血中Hct值。多数卵巢巧克力囊肿破裂患者,在B超下均未探及明显液体潴留现象,开腹后可见盆腹腔脏器浆膜面均有巧克力样黏稠液体附着。结论卵巢巧克力囊肿的破裂与其直径无关,与月经无关,而好发于较年轻、病变较为严重的患者;卵巢巧克力囊肿患者Hct值明显低于黄体破裂出血者及静脉血中Hct值。
Objective To investigate the risk factors of ovarian chocolate cyst rupture and its clinical features. Methods The clinical features, diagnosis and treatment of 79 patients with ruptured ovarian chocolate cyst and 231 patients with unruptured cyst were retrospectively analyzed. Results There were significant differences in age, marital status, number of deliveries, length of hospital stay and recurrence between ovarian chocolate cyst ruptured group and non-ruptured group (P <0.05). Ovarian chocolate cyst rupture, line uterine rectum litter examination, most (40/48) can be extracted with a characteristic brown viscous liquid, puncture fluid line Hct check, the value was significantly lower than the rupture of luteal and venous blood Hct value. Most patients with ovarian chocolate cyst rupture, were not explored in the B ultra-obvious liquid retention and laparotomy showed abdominal visceral visceral chocolate-like viscous liquid adhesion. Conclusion The ovarian chocolate cyst rupture has nothing to do with the menstrual, but occurs in the younger, more serious lesions in patients with ovarian chocolate cyst rupture; Hct values were significantly lower than the luteal rupture hemorrhage and venous blood Hct values.