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目的:探讨临床妇产科疾病出现误诊的情况,为妇产科疾病诊断质量的提高提供参考。方法:回顾性总结分析我院妇产科在2010年1月至2012年12月期间收治的被误诊为急性阑尾炎的24例患者的临床病例资料,所有患者均进行手术治疗,总结分析患者的误诊情况。结果:所有患者均是在阑尾炎手术中被确诊为相应的妇产科疾病,确诊为妇产科疾病后我科在第一时间对患者进行了妥善处理和治疗。其中进行右侧卵巢切除术者10例,进行卵巢囊肿切除术者8例,进行盆腔脓肿引流术者6例。所有患者在治疗后均未出现手术并发症以及感染。24例患者经过住院观察和治疗之后,均痊愈出院。结论:妇产科疾病和急性阑尾炎临床表现十分相似,在临床上常会出现误诊情况。所以,在对妇产科疾病进行诊断时,要充分进行各项检查,做好记录,总结诊治经验,从而减少误诊的发生。
Objective: To investigate the clinical misdiagnosis of obstetrics and gynecology diseases, provide a reference for the improvement of diagnosis quality of obstetrics and gynecology diseases. Methods: The clinical data of 24 patients who were misdiagnosed as acute appendicitis from January 2010 to December 2012 in our hospital were retrospectively analyzed. All the patients underwent surgical treatment, and the patients’ misdiagnosis Happening. Results: All patients were diagnosed as obstetrics and gynecology diseases in appendicitis surgery. After the diagnosis of obstetrics and gynecology diseases, our patients were treated and treated as soon as possible. Among them, 10 cases underwent right ovariectomy, 8 cases underwent ovarian cyst excision and 6 cases underwent pelvic abscess drainage. All patients did not have surgical complications and infections after treatment. 24 patients after hospital observation and treatment, were cured and discharged. Conclusion: The clinical manifestations of obstetrics and gynecology and acute appendicitis are very similar. Misdiagnosis often occurs clinically. Therefore, in the diagnosis of obstetrics and gynecology diseases, we must fully carry out the tests, make a record, summed up the experience of diagnosis and treatment, thereby reducing the misdiagnosis.