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目的提高卵巢子宫内膜异位囊肿破裂的诊断率。方法对１２例患者的临床资料进行回顾性分析。结果卵巢子宫内膜异位囊肿破裂的发生率为４．５％，１２例均为突发性下腹部痛伴明显腹膜刺激征但无休克表现，误诊５例。结论育龄期妇女围月经期突发下腹痛伴明显腹膜刺激征但无休克表现时应考虑卵巢子宫内膜异位囊肿破裂可能。后穹窿或腹腔穿刺，Ｂ超检查有助于明确诊断
Objective To improve the diagnosis of ovarian endometriosis rupture. Methods The clinical data of 12 patients were retrospectively analyzed. Results The incidence of ovarian endometriosis cyst rupture was 4.5%. All 12 cases had sudden lower abdominal pain with obvious peritoneal irritation without shock, and 5 cases were misdiagnosed. Conclusions In women of childbearing age, it is possible to consider the rupture of ovarian endometriosis cyst in patients with sudden onset of abdominal pain and obvious peritoneal irritation in the peri-menstrual period. Posterior fornix or abdominal puncture, B-ultrasound helps to confirm the diagnosis