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目的分析卵巢破裂的临床特点及治疗方法。方法回顾性分析2009年1月至2011年3月39例卵巢破裂病例的临床特点、治疗方法及其转归。结果 39例患者均发生于卵巢功能旺盛时期,71.8%发生于月经后半期,51.3%发病前有性生活史,5.1%有用力排便史,43.6%无明显诱因。均有腹痛症状。10例(25.6%)手术治疗;29例(74.4%)予保守治疗,其中26例(89.7%)治愈出院,均为初步诊断明确的患者。结论大多数卵巢破裂的患者经保守治疗可以治愈,提高卵巢破裂的诊断率,则保守治疗的成功率亦会提高。
Objective To analyze the clinical characteristics and treatment of ovarian rupture. Methods The clinical features, treatment and outcome of 39 patients with ovarian rupture from January 2009 to March 2011 were retrospectively analyzed. Results All the 39 patients occurred in the stage of strong ovarian function, 71.8% occurred in the second half of menstruation, 51.3% had sexual life history before onset, 5.1% forced defecation history, 43.6% had no obvious incentive. Have abdominal pain symptoms. Ten patients (25.6%) were treated surgically and 29 patients (74.4%) were treated conservatively. Among them, 26 patients (89.7%) were cured and discharged, all of whom were initially diagnosed. Conclusion Most patients with ovarian rupture can be cured by conservative treatment, and the diagnosis rate of ovarian rupture is increased, the success rate of conservative treatment will also increase.