|
|
|
| Clinical Analysis of 46 Patients with Ovarian Rupture |
| Fushun Central Hospital， Fushun 113006，China |
|
|
|
Abstract Objective：Through clinical analysis of 46 patients with ovarian rupture，to investigate the clinical manifestations，diagnosis and differential diagnosis of ovarian rupture，analyze the main causes of misdiagnosis of the disease，preventive measures put forward and discuss reasonable treatment of ovarian rupture.Method：From February 2014 to November 2014，clinical symptoms，signs，treatment and outcome of 46 patients with ovarian rupture were analyzed retrospectively in our hospital .Result：46 cases of ovarian rupture patients showed sudden persistent abdominal pain，many have sexual intercourse
and other incentives，with vaginal bleeding，nausea，vomiting，anal flu.Early diagnosis in 41 cases，diagnosis was 89.1%（within 24 hours of hospitalization）.2 cases misdiagnosed as ectopic pregnancy，misdiagnosed as ovarian cyst torsion two cases，one case was misdiagnosed as appendicitis，more than five cases of misdiagnosed patients were diagnosed with ovarian rupture after surgery.Conservative treatment of 30 cases（ 65.2%），the success rate of 100%，the surgical treatment of 16 cases（34.8%）.Conclusion：Due to lack of specific clinical manifestations of ovarian rupture，clinicians should strengthen awareness of the disease，in patients with acute abdominal pain female admissions occurs，should be performed carefully gynecological
examination，combined with clinical manifestations and laboratory tests related to a comprehensive analysis of judgment，in order to avoid misdiagnosis.From the treatment，the high success rate of ovarian rupture of conservative treatment，the early diagnosis，it should be a positive line of conservative treatment.But if the patient abdominal hemorrhage more，even when the merger of ectopic pregnancy，surgery should be decisive.
|
|
|
|
|
|
|
|
|
