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目的对卵巢黄体破裂的临床诊治方法进行探讨分析,进而提高临床治愈率。方法回顾性分析本院妇产科收治的2009年5月~2013年7月期间的23例卵巢黄体破裂患者资料。结果 23例确诊患者中,有17例采用保守治疗,全部治愈出院,6例采用手术治疗,其中5例行腹腔镜手术,仅1例行剖腹手术,治疗后基本痊愈出院,预后良好。结论诊断黄体破裂除根据临床特征外,还应综合考虑月经周期,并配合各辅助检查,确诊为卵巢黄体破裂的患者需根据病情选择治疗方法 ,病情轻者以保守治疗为首选,病情严重者根据具体情况选择不同的手术治疗,手术治疗中首选腹腔镜手术。
Objective To investigate the clinical diagnosis and treatment of corpus luteum rupture and to improve the clinical cure rate. Methods The data of 23 cases of luteal rupture in our hospital from May 2009 to July 2013 were retrospectively analyzed. Results Of the 23 patients diagnosed, 17 were treated conservatively and all were cured. Six patients were treated by surgery. Among them, laparoscopic surgery was performed in 5 patients and laparoscopic surgery was performed in only 1 patient. All patients were cured and discharged with good prognosis. Conclusions In addition to the diagnosis of luteal rupture in addition to clinical features, should also consider the menstrual cycle, and with the auxiliary examination, diagnosed patients with corpus luteum rupture should be based on the disease treatment options, mild to conservative treatment is preferred, serious condition based on Specific circumstances choose a different surgical treatment, surgical treatment of choice for laparoscopic surgery.